Application Form

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Application Form

Email *

Full Name *

Street Address *

City *

State/Province *

Zip Code/Postal Code *

Country *

Telephone *

E-mail *

Date of Birth *

YYYY

Nationality *

Passport Number *

Sex *

Female

Male

Civil Status *

Single

Married

Divorced

Widow/Widower

What is your highest level of education? *

What work experience do you have? *

Emergency Contact information (Full name, telephone, and email and your relationship to the person) *

All volunteer participate in physical and manual labor daily including grounds maintenance, general cleaning, kitchen work and gardening. Who would you describe your health? *

Excellent

Average

Poor

Are you currently or have you been in the past under treatment due to an emotional problem, including but not limited to depression, anorexia, bulimia or anxiety? If the answer is YES, please explain. *

Do you have allergies or require a special diet? Is the answer is YES please explain in detail especially food or medicine allergies. *

What type of health insurance do you have? Explain how it works in Spain and indicate the dates the policy is in effect. *

Have you been involved in religious sects, occult practices, pornography, substance abuse and/or other addictions? If YES, please explain. *

Describe your faith commitment and how it impacts your daily life. *

Have you been baptized? *

Yes

When and where? *

Name and denomination of the church you currently attend. *

Are you a member of your church? If so, for how long? *

Describe any ways you serve or have served in your church. *

Have you served as a volunteer or a missionary previously? If so, please explain. *

Normally the time commitment for volunteers is a MINIMUM of two months and a maximum of one year. Volunteers need to be committed not to leave the program before the indicated date except in case of emergency. During the Christmas season, the Alfa y Omega Centre is closed from the 23 of December until the 6 of January. During this time period, volunteers are not permitted to stay in the Centre. *

I agree.

Required

Your stay: arrival date *

YYYY

Your stay: departure date *

YYYY

How did you hear about the Alfa y Omega Centre? *

Which languages do you speak and what level do you have? (1-basic greetings,2- basic conversation,3-Normal conversation, 4- professional conversation or 5-native fluency) *

Tell us about your interests, hobbies and talents (musical, arts, teaching, organization…) and what level you have in each. *

Do you play any sports and would be able to coach them? *

Do you like to cook? *

Yes

Are you a certified lifeguard? If so, please describe the level you have. *

Some volunteers, due to their talents, experience and education. help with the children who attend the Alfa y Omega School. If you would like to help with the students for some of your work hours, what kind of experience, preparation, and qualifications do you have? *

Would you be willing to give up some of your free time to help in the necessary activities of the Centre? *

Yes

It depends

I am willing to accept the responsibilities of the volunteer program including the work and schedule of Alfa y Omega, and I am committed to fulfill my responsibilities as a volunteer. *

I have read and rules of Alfa y Omega and I agree to respect and obey them.

A copy of your responses will be emailed to the address you provided.

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