|
Asociación Casas de la Esperanza
|
|
|
|
|
|
|
ATRÁS
|
|
|
|
|
 |
|
|
|
|
|
Voluntarios
Volunteers
|
|
|
|
|
|
|
|
BACK
|
|
|
|
|
|
|
|
|
|
|
|
|
Nombre / First Name
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Apellidos / Last Name:
|
|
|
|
 |
|
|
|
|
|
|
|
|
|
|
Nacionalidad / Citizenship:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Número de Pasaporte / Passport Number:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fecha de Nacimiento / Birth Date:
|
|
|
|
|
|
|
|
 |
|
|
|
|
|
|
|
|
|
|
Calle y nº / Street & num.:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ciudad y Código Postal / City, State & Code:
|
|
|
|
|
|
|
|
|
|
|
|
|
Teléfono / Telephone:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Email:
|
|
|
|
 |
|
|
|
|
|
|
|
|
|
|
Fecha de llegada: / Arrival date:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Fecha de partida / Stay until:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Estudios, Profesión u Ocupación
/ Studies, Profession, Job:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Contacto de emergencia, teléfono, email, etc.
Contact in case of emergency, telephone, Email, etc:
|
|
|
|
|
|
|
|
|
|
|
Si hay sitio, ¿Prefieres la casa de voluntarios? /
Do you prefer to stay in the volunteer house?
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Añade, si quieres, algún comentario personal /
If you like to, add some personal comments
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Asociación Casas de la Esperanza
|
|