Volunteer Application FormAbout YouName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email Phone*Date of Birth* Date Format: DD slash MM slash YYYY Gender*MaleFemaleCurrent occupation/place of study*PhotoAccepted file types: jpg, jpeg.Please upload a clear photo of yourself, which tells us something about you. One without sunglasses, big hats, fake beards, please, we’d like to see your face! If it is a group photo, tell us which one is you. The photo should be in jpeg format and less than 5MB in size.Please tell us when the photo was taken and what it means to you*FundraisingAre you planning to carry out some fundraising to cover the costs of your placement, prior to your departure? Please tell us more about what kind of events you would like to hold or participate in and what kind of support you require from Ecologia to organise these.A few formalitiesSo that we can place you in the most suitable village for your individual needs, please tell us:Do you speak any Russian*YesNoAt what level do you speak Russian?*When do you intend to volunteer and for how long*Special needs & dietary restrictions & allergies I have special needs, am vegetarian or have other dietary restrictions or allergiesPlease describe your dietary restrictions/special needs/allergies*RefereesPlease supply contact details for two referees who are not family members, close friends, or your peers. At least one should be a teacher or employer (former or current). Supervisors, tutors, youth/sports club leaders, or university lecturers would also be ideal.Referee 1Name* First Last Email* Relationship to you*Referee 2Name* First Last Email* Relationship to you*Your BackgroundPlease answer all the following questions. Your answers will not prejudice your successful application as a volunteer.Have you ever been convicted of any crime in any Court of Law in any country in the World?*YesNoPlease supply details*Have you a history of any form of mental illness or undertaken psychological therapy or counselling?*YesNoPlease supply details*Do you have any medical condition that may require treatment while you are abroad?*YesNoThis includes epilepsy, diabetes or other physical disability.Please supply details*Data Protection* I agree to allow Ecologia Youth Trust to share this information with our partner in Russia on the understanding that any personal information including health or other issues will be treated in confidence by those who need to know and not passed on to any third party. I agree to receive mailings and I will have the option to opt out of mailings that are sent to me in the future.Introduce yourselfThe following questions are a guideline to help you to introduce yourself to our partners. They want to get a feeling for you as a person, so write as freely and informally as you can. Before Ecologia Youth Trust can approve your application to volunteer, our partner needs to see your introduction and give us their approval. It is both a courtesy to them and a reassurance for our volunteers so that you know our partner welcomes you before you commit yourself.Have you visited Russia before? If yes, when and for how long? Tell us what you did there.*Where did you hear about volunteering overseas with Ecologia Youth Trust? If on the recommendation of a former volunteer, please mention the name.*If you heard about us via a Google ad or through a search engine, please let us know the name of the website where you saw our listing.What is your main interest in volunteering at our projects and what do you hope to achieve?*Have you ever taught English before? Have you worked with children before? Tell us more...*We are looking for volunteers who are willing to share their interests, unusual skills and talents – music, crafts, performing arts; cooking; building; sports – almost anything. What can you offer?*It has been suggested that every person should do something for body, spirit and mind every day. Do you agree? What do you do for your body, spirit and mind?*If a friend were to describe you, which 5 adjectives would they use?*Which 5 adjectives would you use to describe yourself?*What 3 things couldn't you live without (material or abstract)?*Where do you see yourself in 10 years' time?*AdaptabilityThese 20 Questions are as much for you to assess your own adaptability, as they are relevant to us. Be honest with yourself!On a scale of 1-5 (1-not at all, 5-very much) would you say you are:Outgoing and sociable*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchSelf motivated*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchSelf reliant (able to support yourself emotionally)*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchAble to put the needs of others before your own*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchAdaptable to different living conditions from usual*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchAble to cope with lack of privacy*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchConfident in the company of new people*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to try something new*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchAble to ask if you don’t know the answer*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchOpen to fair criticism*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchOpen to different cultural values than your own*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to do manual labour, help on the farm, with building*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to help in the kitchen, wash dishes*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to share*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to tolerate unfamiliar food*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchHow much do you like rural life, living in isolation from the city?*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchComfortable to invite yourself to someone’s home*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to learn to speak some Russian before you go*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchHow much do you like children?*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchThese 20 Questions are as much for you to assess your own adaptability, as they are relevant to us. Be honest with yourself, and if you answered 1 more than 3 times, we seriously suggest you re-consider whether volunteering is the right choice for you.If you are, on average, unsure but open and willing to try, (mostly 2 – 4) you will find your place at one of our projects and be happy there.If you are all 5’s you are either a saint or deluding yourself!!PhoneThis field is for validation purposes and should be left unchanged.