Build Homes – Apply Now – Scope Volunteer in Brazil

1.Personal Information

First name *

Last name *

Date of birth *

Gender *

Male

Female

Citizenship *

E-mail *

Contact phone number *

Street address *

Apt #

City *

State / Province / County *

Postal / Zip Code *

Country *

2. Programme Dates

When would you like to attend this programme

From *

To *

3. Programme Discounts and Fundraising

3.a) Would you like to share one of our regular rooms with another volunteer and get a US$25/ week discount each? If not, skip to 3.c. *

Yes

No

3.b) Would you like to share a room with a specific applicant?

Yes

No

Applicant’s name *

We will try our best to find you a roommate. However, if there are no other applicants looking for a roommate, then a room share will not be possible.

3.c) Do you need assistance raising funds for your programme fees? *

Yes

No

4. Programme Optionals

4.a) Would you like to enroll in our intensive beginner Portuguese course (10hrs/week for US$150/ week or US$500 for four weeks)? *

Yes

No

If yes *

1 week

2 weeks

3 weeks

4 weeks

5. Volunteers Travelling in Groups

Are you travelling with friends or family? If so, please answer 5. a – c. If not, skip to 6.

5. a) How many people are travelling with you?

5. b) Are any of your travel companions also volunteering through Scope? If so, what are their names?

5. c) Do you need us to arrange special housing for your group?

Yes

No

6. Background

6.a) Do you have any special skills you think might benefit the community of Trancoso? If so, what are they?

6.b) Please list any languages you speak.

Beginner

Intermediate

Advanced

Beginner

Intermediate

Advanced

Beginner

Intermediate

Advanced

Beginner

Intermediate

Advanced

Beginner

Intermediate

Advanced

6.c) Tell us about your past experiences that you feel are relevant to this programme. *

6.d) Use the space below to tell us a little about your hobbies and/or interests when travelling and why you wish to join this programme. *

6.e) In order to ensure your safety, we need some information about your medical background. Please tell us about any medical conditions you have which might affect your stay in Brazil. Please be as thorough as possible. Your well-being depends on it.

6.f) Do you have any specific dietary requirements (vegetarian, food allergies, etc.)?

7. Where did you first hear about Scope? *

oneworld365.com

goabroad.com

gapwork.com

igapyear.com

travellersquest.com

Search engine (eg. Google)

Other

Build Homes For Poor Families of Trancoso

1.Personal Information

2. Programme Dates

3. Programme Discounts and Fundraising

4. Programme Optionals

5. Volunteers Travelling in Groups

6. Background