Volunteer in Brazil - Sign-Up with Iko Poran | Iko Poran

We do not charge an initial subscription fee. Therefore we ask you to only sign up when you are really sure that you want and can take part in an international volunteer program in Brazil. Please download and print the Iko Poran International Volunteer Agreement.

Your application will only be considered after we receive by fax (55.21) 3852.2917 or mail the signed agreement.
After we receive your application form and the signed volunteer agreement, someone from our team will contact you to guide you through the next procedures to format your unique, productive and rewarding volunteer experience. If you would like general information about volunteering with Iko Poran, please click here.

Please also read: The Role of the International Volunteer and CODE OF CONDUCT IKO PORAN

Fields marked with ( * ) are required.

Please note that all projects are closed during the Carnival week (February 8th to 15th). Any volunteer that arrived prior to Carnival and is staying in the guest house throughout this period will be required to pay a premium of $R750 regardless of their arrival date.

Unfortunately, at this time we can no longer accept anymore volunteers for the month of July. Please contact us to confirm your arrival date. Sorry for any inconvenience this may cause.

Program Start Date in 2013:

Program Start Date in 2014:

We are closed for the months of June and July due to the World Cup, all projects that a volunteer started before June will finish on May 31st.

Number of weeks:

Program:

Personal Info

Name ( * )

Last Name: ( * )

How do you prefer to be called: ( * )

Name (as written in your passport):

Gender: ( * )

Male

Female

Nationality: ( * )

Present Occupation:

Birth date

Day: ( * )

Month: ( * )

Year: ( * )

Contact Information

Email: ( * )

Phone (at home):

Mailing address:

City:

Zip Code:

State:

Country:

Information required for the Program:

Do you have a valid passport?

Yes

No

Passport #:

Passport valid until

Day: ( * )

Month: ( * )

Year: ( * )

I.D:

Have you ever been to Brazil?

Yes

No

If yes, please indicate the purpose of your trip:

Please list countries of previous international journeys:

Country and purpose of the trip:

Country and purpose of the trip:

Country and purpose of the trip:

Country and purpose of the trip:

Language abilities

Native Language:

English:

Portuguese:

Others:

Do you have any dietary restrictions we should know about?

Current and prior experience

Prior volunteer experience:

Employment experience

Education

High School:

College (institution and year):

Major:

Post-Graduation/ MBA

Please describe any other relevant educational experiences:

Personal References

1) Name:

Phone:

Email:

Skills and Interests

Please list your main skills.

We will develop a work plan for you based on the information provided in this form.

Please fill in your abilities below:

Health:

Hygiene Education:

Therapeutic Work

Physical Therapy / Physiotherapy:

Recreation:

STD prevention:

Rhythmic Dance / Aerobics Exercises

Medicine

If you are a medical professional, please fill in your specialization:

Education

Informal:

Sports:

What kind of sport disciplines?

Language abilities:

Please specify:

Others:

Please specify:

Do you prefer to work with:

Children

Adults

Technical Knowledge

Income generating activities (Sewing, Mechanics etc.).

Business Plan (Small Business)

Computing:

Fundraising:

Marketing:

Publicity:

Beauty Salon:

Photography:

Others:

Please specify:

Arts and Crafts

Dance:

Theater:

Poetry:

Music:

Circus:

Graphic Design

Painting and Design:

Papier maché:

Sculpture

Paper craft:

Other Abilities:

Please specify:

Office Work:

Would you like to work in our office:

would rather not

would accept

would rather work

List more skills not mentioned above:

Interests

Please list the particular interests you are most interested in sharing

Interest 1:

Interest 2:

Interest 3:

Are you willing to work in any area you may be needed?

Yes

No

If “Yes”, then we will feel free to place where we need you.

Please list any other important factors or make comments.

What is your primary motivation for participating in our program ( * )

Health and Emergency

Blood Type:

Do you have any MEDICAL CONDITION(s) - such as allergies?

Yes

No

If "Yes", please specify condition(s):

Do you have disabilities (visual, auditory or other)?

Yes

No

If "Yes", please specify condition(s):

Do you have a history of mental or emotional instability?

Yes

No

If "Yes", please explain:

Are you currently under medical treatment?

Yes

No

If "Yes", please explain:

Do your medical condition(s) require special arrangements?

Yes

No

Iif "Yes", please explain:

Do you require any medications on a regular basis?

Yes

No

If "Yes", please list the medication(s) of and reason(s)

Personal Physician’s name:

Phone (with country and area code):

24-hour emergency number if available

Contacts in Case of Emergency

Name:

Relationship:

City:

State:

Country:

ZIP Code:

Day Phone (with country and area code):

Night Phone (with country and area code):

How did you learn about Iko Poran?

other:

All information provided is correct and true.

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