Print this application, then fill it out and mail it to Building New Hope, 106 Overton Lane, Pittsburgh, PA 15217.
PLEASE NOTE: For volunteers in Nicaragua, there is a $50.00 administrative fee to remit before your arrival in Nicaragua. Payment can be made through PayPal on our website (www.buildingnewhope.org) or by check to the address above. Please note "Admin Fee" as the Purpose in PayPal or in the memo field of your check. Thank you.
Name:
Birth date:
Address:
Phone:
Email:
Preferred starting date of volunteer work:
Preferred ending date of volunteer work (minimum one month):
Spanish proficiency: __ None __ Elementary __ Intermediate __ Advanced __Superior
Volunteers for the school programs should have a high-intermediate level knowledge of Spanish. Casa Lupita (veterinary clinic) volunteers are not required to speak Spanish, although some knowledge would be preferable.
Number of years and where you studied Spanish:
Education (last degree completed, current studies):
Previous volunteer experience:
Experience working with children:
Special skills or talents that you feel may be useful for the projects of Building New Hope:
Name, relationship to and contact information of person to notify in case of emergency:
Please explain why you are interested in volunteering with Building New Hope, what you hope to gain and how you think you can contribute to the programs in Nicaragua:
Thank you!