Full legal name of primary applicant
*
First Name
Last Name
Additional family members applying
Please list the names and birth dates of other family members who will be serving with you, as well as their relationship to you (i.e. spouse, daughter, son, etc.).
Email
*
Phone
*
Country
(###)
###
####
Date of birth
*
MM
DD
YYYY
Mailing address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Where is your preferred volunteer location?
*
(Please note that this does not guarantee your assigned volunteer location).
What dates would you like to volunteer?
Personal reference 1
*
Please no family members.
First Name
Last Name
Who do they know?
*
Phone
*
Country
(###)
###
####
Best time to contact them
Personal reference 2
*
Please no family members.
First Name
Last Name
Who do they know?
*
Phone
*
Country
(###)
###
####
Best time to contact them
Personal reference 3
*
Please no family members.
First Name
Last Name
Who do they know?
*
Phone
*
Country
(###)
###
####
Best time to contact them
I have read OSSO's Terms and Conditions and agree to them.
*
Read here http://www.orphanagesupport.org/terms-and-conditions/
Do any of your family members speak Spanish?
*
How did you first hear about OSSO?
*
Does anyone in your family have any medical conditions that you would like to disclose?
*
Please note that this will NOT disqualify your application. Disclosure is solely encouraged so that OSSO leaders can be prepared in the case of any flare up of symptoms or medical emergencies.
Does anyone in your family have any mental health or emotional concerns that you would like to disclose?
*
Please note that this will NOT disqualify your application. Disclosure is solely encouraged so that OSSO leaders can be prepared in the case of any flare up of symptoms or emergencies.
Do you need any other special accomodations while in Ecuador? (Such as food restrictions, allergies, etc.)
*
Please note that this will NOT disqualify your application. Disclosue is solely encouraged so that OSSO leaders can be prepared in the case of any flare up of symptoms or medical emergencies.
Are you and your family members vaccinated against COVID-19?
*
This is no longer required. But if you are vaccinated, please email us a copy of your vaccination card.
Have you received all boosters you are eligible for?
Is your passport valid 6 months after your planned return date?
*
Ecuador will not let you into the country if your passport is not valid for at least 6 months beyond your return date.
Please list an emergency contact that we have permission to contact in case of an emergency (name, phone number and email address)
*
What is your relationship to your emergency contact?
*
Please list t-shirt sizes for each family member.
Sizing is unisex for both adults and kids.
Do you authorize OSSO to use any photos or videos taken of you and your family members during your volunteer service for marketing purposes? (i.e. social media, website, flyers, etc.)
Have you volunteered with OSSO before?
*
Do we have permission to perform a background check on all family members ages 18+?
*
For the background check we need the full names (including middle names) and social security numbers for each family member ages 18+. You can list this information below OR call our office to give this information over the phone.
Is there anything we should be aware of on your background check?
*
If yes, please explain
Electronic Signature
*
