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Volunteer Application

We are anxious to hear from you. If you are interested in joining us at Colegio Mesoamericano-Patzicía, please fill in the following information. (*) Denotes a required field.

*Name:  
*Birthday:  
*Age:  

*Gender
  Male
  Female


*Address:   *Phone Number:  
*Email:  


Major:   School Attending:   Graduation Date:  


*Height:   *Weight:  
*T-Shirt Size:  

*Spanish Speaking Abilities

  None
  Understand it a little, but don't speak it
  Understand & speak 'a little'
  Speak it well enough to 'get by'
  Speak it fairly well
  Speak Fluently
Years of Spanish Classes:  

If you intend to come with a friend that you must live with, please provide their name:  

*We can't predict which age groups you will teach, but which group would you prefer to teach?
  Preschool
  Grades 1, 2, 3
  Grades 4, 5, 6
  Grades 7, 8, 9, 10
  It doesn't matter

*We can't predict which subject you will teach, but which subjects interest you most?
  Geography
  Science
  History
  Language Arts
  Math
  Writing
  Art
  PE
  Music — Which instrument?

Health

*Are you taking any medications?
  Yes
  No
Please explain any health concerns you might have: