VOLUNTEER Book your Program

Personal Information

First Name: *
Last Name: *
Email: *
Gender: *	Female Male
Date of Birth: *
Home Telephone: * (please include country and area code)
Mobile Telephone:
Work Telephone:
Address: *
City: *
State/Province: *
Zip / Postal Code: *
Country: *
Nationality: *
Passport Number: *
Profession / Field of Study: *
Work Status: *
Alternative Email:
Native Language: *
Other Languages Spoken: *
I found Expanish Volunteer through: *
If other: (please be specific)
Any medical conditions or other important restrictions the Expanish staff should know before arranging a placement?	Yes No
If yes, please explain: (please be specific)
Current Spanish level: *

Emergency Contact Details

Last Name: *
First Name: *
Address: *
City: *
State / Province: *
Zip / Postal Code: *
Country: *
Nationality:
Language Spoken: *
Home Telephone: *
Email Address: *
Alternate Telephone:
What is your relationship with this person?:

Additional Information

Interests, Expectations, Comments:

Program Information

Areas of Interest, please check all areas that apply:

Volunteering in Poverty-Stricken Communities in Buenos Aires
Teaching English in Argentina
Green Buenos Aires Programs
Medical Volunteers Argentina
HIV Outreach Argentina
Volunteer in Orphanages and Children's Homes Buenos Aires
Buenos Aires Helping the Homeless
Buenos Aires Sports & Recreational Programs
Number of Weeks: *
Course Start Date: *
Course End Date: *

Placements must begin on a Monday.

*Please be aware that volunteer placements from December to March may be limited due to the Argentina summer. Similarly, high season is May-August due to summer vacations in the northern hemisphere. Holiday weeks such as Christmas, Easter, etc., have very few placements available. If you wish to volunteer during these times, please apply as early as possible and keep other placements in mind.

Additional comments or specific task requests:
(we cannot promise any specific tasks ahead of time, however we will do our best to accommodate your requests as best we can within our volunteer network!)

Special Packages

Volunteer + Spanish

Select your Spanish course in Buenos Aires:
(optional):

Number of weeks of Spanish:
Special Packages Start Date:
Special Packages End Date:
I would like my course:

Accommodation Details:

Select your workshop in Buenos Aires:

Fileteado Workshop:
Polo:
Tango Workshop:

Select your services in Buenos Aires:

Airport Pickup U$D 55.00

Please make sure to provide your estimated arrival time, with special attention to indicating AM/PM or 24 hour clock

Estimated Arrival Date:
Estimated Arrival Time:
Departure City:
Flight Number:
Airline:
I wish to share my pick up with: (maximun 3)

Terms and Conditions

By ticking the box labeled "Yes" I agree to the Terms and Conditions of Expanish and declare the above information to be true. I understand an invoice for program fees will be sent to me shortly after my registration has been received and that my registration will not be completed until the proper payment has been received.

YES

Check In Date: (one week minimum for homestay and shared apartment, one week include 7 nights)
Check In Time:
Check Out Date:
Allergies / Special Dietary Needs / Special Needs:
Are you Smoker?:	Yes No
Do you mind living with children?:	Yes No
Do you mind living with pets?:	Yes No
Do you mind living with smokers?:	Yes No
I am part of a couple requiring a shared bedroom:	Yes No

Expanish Volunteer Registration Form