Russian Language Course ApplicationThank you for applying to the Russian Language Course. Please fill out the form below and we will be in touch as soon as possible! About 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*Current Russian Language CourseDescribe the level of your language ability and your expectations of the course you have chosen.Which course would you like to join?* Elementary Russian Course: 27 June - 26 July 2020 Intermediate Russian Course 27 June - 26 July 2020Do you intend to stay on and 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) whom we can contact for a character reference.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 in Russia?*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 Kitezch-Orion Community. 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, Kitezch-Orion needs to see your introduction and give us their approval. It is both a courtesy to them and a reassurance for our students so that you know that you are welcomed 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 the Russian Language Course at Orion?*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.Some Questions to help us to assess your Russian Language proficiency. The more you can say, the better so that we can assess the level of your language and put you together with others of a similar level:* Which level of language proficiency are you, and what are your expectations from the course? What is your main interest in the Russian Language Course, is it grammar, conversation, reading, writing? How long have you studied Russian and in what system? At school, university? Where are you studying now and which level are you on? Are you currently studying Russian or is this a chance to brush up your language? Which grammar themes have you covered? Cases, tenses, verb conjugation, participles, gender, conversation practice, reading, writing and verbal communication. How do you intend to use Russian language? What topics are you interested in? Culture, politics, art, etc.Especially important for those who plan to stay on as a volunteer: Have you ever taught English before? Have you worked with children before? Tell us more...*Please give us a general description of your personal background, current work or study, hobbies, interests. As a vulunteer you will have many talents, skills and qualities to give. Please tell us about them all.*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 muchWilling to learn some Russian before you go*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchAble to put the needs of others before you 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 muchComfortable to invite yourself to someone's home*Please select...1 - Not at all2 - Unsure3 - Willing to try4 - Open5 - Very muchWilling to do whatever job is asked of you (provided you are able)*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 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 Kitezch is the right place for you.If you are, on average, unsure but open and willing to try, (mostly 2 – 4) you will find your place at Kitezch-Orion and be happy there.If you are all 5’s you are either a saint or deluding yourself!!EmailThis field is for validation purposes and should be left unchanged.