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Please email completed form along with a letter of intention and your C.V. to
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COMPLETE LEGAL NAME:
COMPLETE MAIL ADDRESS:
COUNTRY:
TELEPHONE:
E-MAIL:
PASSPORT NUMBER:
EXPIRATION DATE: (dd/mm/yy)
COUNTRY OF CITIZENSHIP ON PASSPORT:
DATE OF BIRTH: (Day/Month/Year)
How did you hear about the Observer Mission?
CIS mailing or e-mail
CIS web page
Idealist
Facebook
Other: __________
What is your profession or area of studies?
Are you coming as an individual or with the backing of your community group, solidarity group, church, university, etc.? Individual, or Please note sponsoring group's name:
Have you participated in a CIS election observer mission previously? Yes or No
How would you describe your Spanish level?
__ZERO __BASIC__INTERMEDIATE__ADVANCED__FLUENT
Are you fluent in English? Yes, or No
If you are fluent in English and Spanish, are you willing to help translate? Yes or no
Other languages you are fluent in?
Do you have any special food needs?
| Food Needs |
Please Place an X next to all that Apply to You |
| Eat Everything |
|
| Vegan (no animal products) |
|
| Vegetarian (no meat) |
|
| Semi-vegetarian (eat chicken and fish) |
|
| Lactose intolerant |
|
| Wheat intolerant |
|
| Diabetic |
|
| Other |
|
Why do you want to participate in the Election Observer Mission?
Housing Option:
Election Observer: Shared room 3 -5 persons ($700); double ($750/per person); single ($850)
If you have names of persons you would like to share room with_________________________
Long term Volunteers: (3 months +):____ home stay ($80 / week incl. breakfast and dinner) ___other____
(Special Spanish program participants will be in home stay during the Spanish School)
Dates of participation:
Arrival: ______________________
Departure: _____________________
1. Volunteer January 2 until March 30, 2012 (Spanish Speakers)
2. Volunteer October 10, 2011 until March 30, 2012 (Spanish Speakers).
3. Volunteer additional dates after March 30th Help write final report (compile observer data, compile narrative reports, investigate and write analysis on different election issues, translate articles) and do follow up visits to present report. (Must be fluent in Spanish and been volunteering since Oct. 10, 2011 or Jan. 2, 2012. Suggested departure date: April 30, May 30, or June 30th depending on the time you have available.
4. Intensive Spanish language/pre-election observation + observer program Feb. 19 – Mar. 4. (Spanish not a requirement)
5. Observer in the Mission from March 5-13, 2012 (Spanish not a requirement).
***Please email completed form to elections@cis-elsalvador. If you are applying to be a volunteer also include a letter of intention and your C.V. *** |
