VOLUNTEER APPLICATION FORM
Name ______
Age _____ Date of birth ______
Nationality ______
Highest degree level earned:
High School ____
Bachelors ____
Masters ____
PhD ____
Other ______
Contact Information
______
Emergency Contact information
Name ______
Relationship ______
Email/Phone ______
Do you have any allergies, medical conditions, or dietary restrictions that we should be aware of?
How did you hear about ACA/ACCA?
Project Details
Which of our three stations would you like to visit?
Los Amigos ______Villa Carmen ______Wayqecha ______
What project area most interests you (rate 1 to 3, with 1 representing most interest and 3 representing least interest)?
Biological Monitoring & Research ______
Sustainable Agriculture ______
Community Outreach & Education ______
Anticipated date of arrival ______; Departure______(mm/dd/yyyy) (mm/dd/yyyy)
*Note: A minimum time commitment of one month is required for all volunteers. Applications must be received at least 15 days prior to your intended departure date. For logistical reasons, volunteers to Los Amigos are strongly encouraged to coordinate their arrival and departure dates with the station’s regular boat schedule. Write to for more details.
Skills & Experience
Do you satisfy the minimum requirements for participation in our volunteer program as defined at http://amazonconservation.org/getinvolved/volunteer.html?
Please describe your level of proficiency in Spanish (none, basic, intermediate, conversational, fluent).
Please relate your most relevant previous experiences pertaining to conservation and volunteer work.
Funding
ACA/ACCA functions on a limited budget, and we are not able to cover the cost of volunteer travel, room or board. Volunteers are encouraged to secure their own funding from outside sources. (If necessary, we can provide advice on organizations where you can apply for funding.)
Do you have an independent source of funding? Yes: ____ No: ____
If yes, what are the sponsoring organization and the name of the grant?
Please send your completed application along with an up-to-date résumé or CV to . Thank you!