About HA

Contact

Apply now

Apply now as volunteer.

Personal Information

First and last names and email (your login).

First Name: *

Please enter your first and last names.

Last Name: *

Email: *

Please enter an email as your login for this account.

Phone Number:

Please enter your phone number.

Mobile Phone:

Please enter your mobile number.

Address: *

Please enter your street address.

City: *

Please enter your city.

State/Province: *

Please enter your state or province.

Zip: *

Please enter your zipcode or postal code.

Country: *

Please enter your country.

Country of Citizenship: *

Please enter your country of citizenship.

Date of Birth:

Please use the popup calendar to provide us with your birthdate (format mm/dd/yyyy if you prefer to write it in).

Gender:

Male

Female

Subscribe to Help Argentina newsletter?

Personal Experience

Please describe briefly each of the following

Previous work and volunteer experience:

Career Goals (max 255 characters):

Additional skills (leadership experience, oral and written communication skills, IT knowledge, etc.):

Previous travel experience and other interests:

Program Preferences

Choose One:

Volunteer Program: Short term, more flexibility, no specific requirements.

Internship Program: Longer term, more customized, possible course credit.

Preferred Location in Argentina: *

If other, please specify:

What dates do you want to start and end your program?:

If you have specific arrival and departure dates, please enter them below (mm/dd/yyyy):

How many hours per week would you like to work?:

What type of work are you interested in doing?:

Will you be using any part of the program for college credit? If yes, please explain (max 255 characters):

Are you interested in Spanish classes?:

Group Classes

Private Classes

Not Interested

Approximately how many hours per week?:

If you are a beginner, we highly recommend 20 hours per week of intensive Spanish classes for at least the first two weeks.

Housing Preferences

Type of housing requested : *

If other, please specify (max 255 characters):

Homestay with children:

Homestay with pets:

Homestay with smokers:

Do you have any allergies, dietary requirements, phobias, or other important living considerations? (max 255 characters):

Please check if::

You require a private bathroom

You are a vegetarian

You are a smoker

Medical Information

Blood Type:

RH:

Are your allergic to any type of medicine? If yes, please specify. (max 255 characters):

Please note any kind of emotional or physical recurrent condition that might require medical assistance during your visit to Argentina (max 255 characters):

If you believe there are any important comments in case you need medical assistance which were omitted, please write them down (max 255 characters):

Do you have current international health insurance coverage?:

Yes

If so, please provide the name of your insurance carrier and your policy number (max 255 characters):

Are you interested in obtaining interational health insurance through InsightArgentina?:

Yes

Parent / Guardian Information

Please complete if you are younger than 21 years old.

Name:

Address (if different from yours) :

City:

State:

Country:

Zip:

Contact Phone

Country Code:

City Code:

Number:

Email:

Person to be notified in case of emergency

If different from Parent/ Guardian listed above

Name:

Address: