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Volunteer Form
Whisper
2024-05-19T23:37:55-05:00
Volunteer Application Form
"
*
" indicates required fields
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Give 2 phone numbers in case one doesn't work.
Email 1
*
Email 2
*
Use the same email in this box if you only have one email.
Website(s), Facebook, Instagram, Other?
Upload a RECENT Photo of yourself (We cannot accept any application that doesn't have a photo of you)
*
Accepted file types: jpg, gif, png, pdf, Max. file size: 2 GB.
Must be a gif, png, pdf or jpg (not .jpeg )
Gender
*
Male
Female
Please list your biological gender. We cannot house opposite sexes together. The only way we have been able to create a safe experience for everyone, both transgender and non transgender alike, is for transgender people to have their own room. However, we don't have the space to give volunteers their own room. Please consider coming as a guest and having your own room if you are a transgender person. Everyone is fine with it, as long as no one is forced into sleeping situations they are not comfortable with. Please try to understand. Thank you.
Do you have a passport?
*
Yes
No
Will get one before I come to Ecuador
(Must have 6 months before expiration date in passport in order to enter Ecuador)
Where did you hear about Gaia Sagrada?
*
Birthdate
*
Age
*
ARRIVAL & DEPARTURE - We are currently accepting applications for the dates listed below. Keep in mind that Gaia Sagrada closes during the breaks and this is a time to travel or do work exchange elsewhere. Volunteers do not stay at Gaia Sagrada during breaks. There isn't any work to do! Also, we do not allow volunteers to stay longer than 3 - 4 retreats until we have gotten to know you and mutually decide it's a good fit. We begin reviewing applications 3 - 6 months in advance of each start date. Please choose one of the following:
*
I can be available any time
April 2 - May 30 (3 retreats)
Oct 15 - Dec 13 (3 retreats)
Other
Do You Snore?
*
Yes
No
What attracted you to Gaia Sagrada?
*
EXPERIENCE & SKILLS
Have you done work exchange or volunteered anywhere else?
*
Yes
No
If you have done work exchange or volunteer work elsewhere or at Gaia Sagrada before, please describe your experiences.
*
Do you speak Spanish?
*
No
Beginner
Intermediate
Fluent
Other
English is required, but if you are bi-lingual let us know!
What are your talents? What can you offer? Can you cook vegetarian? Can you teach yoga, breathwork, meditation, or other things? Can you give workshops for our guests? If so, what kind of workshop could you give? Do you have any certifications for certain things? (certifications not necessarily required for everything in Ecuador) List skills and abilities.
*
Is there a specific area you would prefer to work in? (ie: kitchen, garden, maintenance, open to all ...)
*
I understand that participating in shamanic ceremonies is part of the requirements to volunteer, so that I am better able to support our guests. I understand that if I do not wish to participate in ceremonies that my application will not be considered.
*
Yes
No
Shamanic ceremonies open to volunteer participants for a special price of $100 each ceremony, which is included in the $150 per retreat fee. You are guaranteed one ceremony per retreat. You will pay onsite with cash or credit card for each additional ceremony after the first one of each retreat.
Have you ever been around or in shamanic medicine ceremonies before?
*
Yes
No
If yes, where and what type of shamanic ceremonies have you participated in?
What would you hope to acheive, change or become aware of if you partcipate in some of the shamanic ceremonies?
*
PHYSICAL
How is your health and physical stamina? Do you have any health issues we should know about? Please describe yourself and your physical abilities, limitations and strengths.
*
Heart Issues, High Blood Pressure, Diabetes, Sleeping Issues, Asthma, Problems with you Spine, Knees or Joints? If so, please describe condition and limitations.
*
As per the conditions above, or not mentioned, please list any medications you take regularly. Please list all medications and what they are for even if not related to the list above.
*
Are you vaccinated or unvaccinated against Covid? (We only ask this question for health reasons in case there is a emergency. We don’t discriminate. Both vaccinated and unvaccinated are allowed to come here. We support everyone’s free choice.)
*
No
Yes, with boosters, and will continue to get boosters as required
Yes, but no boosters, first two shots were enough
Partially, only first shot
Other
Are you are ok with the fact that both vaccinated and unvaccinated people will be at Gaia Sagrada and we will not require anyone to wear a mask at Gaia retreats?
*
PSYCHOLOGICAL
Have you ever had emotional or psychological issues? If so, describe condition and how you handle it.
*
Have you ever, or do you now, take antidepressants? (If you plan to participate in shamanic ceremonies, must discontinue)
*
Have you ever or do you now use alcohol or drugs like marijuana, cocaine, methaphetamines, heroin or other drugs in an addictive or social fashion? Please explain your feelings about this.
*
Have you ever been arrested for or convicted of a violent crime, including physical or sexual assault? If so, please explain.
*
What do you hope to gain from your experience at Gaia Sagrada?
*
EMERGENCY CONTACTS
We will never contact your emergency contacts unless there is an emergency.
Emergency Contact #1 Name
*
First
Last
Emergency Contact #1 - Relation to you
*
Emergency Contact #1 Phone Numbers (land line, whatsapp, skype, other)
Emergency Contact #1 Email
*
Emergency Contact #1 Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Emergency Contact #2 Name
*
First
Last
Emergency Contact #2 - Relation to you
*
Emergency Contact #2 Phone (land line, whatsapp, skype, other)
Emergency Contact #2 Email
*
Emergency Contact #2 Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
AGREEMENTS
WORK AGREEMENT: By submitting this application form for the Gaia Sagrada Work Exchange Program, I agree to work 75 hours per retreat at Gaia Sagrada in whatever capacity I am needed. I understand that I am making a minimum 2 month commitment to Gaia Sagrada. The housing I receive is dormitory housing.
*
Yes
No
I AM RESPONSIBLE FOR MY OWN HEALTH: I understand that I am responsible for my own health and well being, and I do not hold Gaia Sagrada responsible, legally or financially, for any medical, mental or emotional issues I might have. I am bringing all medicines I need with me for the time I am staying at Gaia Sagrada and I have enough money to take care of myself if I need medical treatments for any of my conditions. I understand that Gaia Sagrada does not have medical personnel on staff.
*
Yes
No
RECREATIONAL USE of the SACRED MEDICINES and RECREATIONAL DRUGS ARE STRICTLY PROHIBITED, grounds for IMMEDIATE DISMISSAL. I will willingly do a URINE TEST if asked. I UNDERSTAND THAT GAIA SAGRADA IS NOT A PARTY ZONE! This includes prohibition of the use of marijuana. (Please continue to read portion below so you know all aspects of what you are agreeing to.)
*
Yes
No
I understand that as a volunteer at Gaia Sagrada I am responsible for keeping the energy clean and the vibration intact for the shamanic work that is being done. I understand recreational drugs or using the sacred medicines in a recreational way whether on or off the property causes disharmony in the ceremonies, the volunteers and staff, and brings in interfering and possibly dangerous spiritual energies, putting the guests at risk spiritually, emotionally, mentally and physically, compromising the safety of Gaia Sagrada. I understand that I am not allowed to go off property and do recreational drugs and come back to Gaia Sagrada either. I agree to keep my body clean during my entire time at Gaia Sagrada, both on and off the property of the retreat center AND DURING BREAKS. If I test positive for any drugs or I am caught doing drugs, I understand that it is grounds for immediate dismissal from Gaia Sagrada without warning. I ALSO AGREE TO REFRAIN FROM USING THE SACRED MEDICINES OUTSIDE OF Gaia Sagrada, DURING AND BETWEEN RETREATS, even with other shamans, during my tenure as a volunteer here. I understand not all shamans are skilled at protecting me from interfering energies and Gaia Sagrada does not want to mix energies with other shamans in the outside world. I understand that Gaia Sagrada must preserve the clarity, spiritual cleanliness, and safety of this space for doing this work.
$200 REFUNDABLE DEPOSIT, $150 PER RETREAT: I agree to give a $200 deposit and $150 per retreat upon acceptance of my volunteer application and being given a position at Gaia Sagrada. My position is not secured until I pay the $200 deposit and $150 per retreat. If I cancel my volunteer position less than 60 days before I am scheduled to start, I understand that my deposit will not be returned. (Please continue to read portion below so you know all aspects of what you are agreeing to.)
*
Yes
No
If I do not fulfill my hours, I will be charged $5 for each hour not worked. I understand that I will be sent an invoice upon acceptance of my volunteer application and my start date has been determined. I understand that my $200 deposit will be returned to me upon my departure as a refund through the invoice when my work is completed satisfactorily and I owe no money for hours missed. I understand that if I leave early no fees paid or the $200 will be refunded, just like with retreats, as Gaia Sagrada cannot replace me at short notice, must pay locals to do the work I was going to do and must fill the position with paid help. I understand there is a $150 per retreat fee that covers my first ceremony chosen in each retreat, laundry, my one way airport transfer upon my arrival, and offsets operational costs. I understand that any additional ceremonies in each retreat are $100 each, and that I will pay onsite using cash or credit card (additional $5 for transaction fees). I understand that cancellation less than 30 days before I am due to arrive, or failure to arrive for my assignment will result in the automatic forfeiture of all funds paid to Gaia Sagrada.*
I UNDERSTAND THERE IS A TRIAL PERIOD and that I can be dismissed for any reason at any time if there is anything unsatisfactory about my work, my attitude, or behavior. I understand that Gaia Sagrada will not be held responsible for my travel expenses or any other costs if I am dismissed. If I am dismissed, I will go peacefully and not disturb retreats, participants, or any other person at Gaia Sagrada.
*
Yes
No
I AGREE TO NO SEXUAL OR ROMANTIC PURSUITS of any kind during my stay at Gaia Sagrada, not toward guests, other work exchangers, staff, or shamans - both on-property, off-property and during breaks. Any kind of sexual or romantic overtures are grounds for immediate dismissal without refunds. I understand many people come to Gaia Sagrada to heal sexual issues, both guests, work exchangers alike, and even staff that may be working at Gaia at any given time. I understand the volatility and repercussions this can cause for other people and the damage to Gaia Sagrada’s reputation that can happen as a result of these activities. IF I am romantically interested in anyone at Gaia Sagrada, I will simply be friends with that person while I am at Gaia Sagrada, we will trade contact info consensually, and only pursue romantic endeavors AFTER both of us are no longer at Gaia Sagrada.
*
Yes
No
THANK YOU FOR YOUR APPLICATION, PLEASE CLICK THE SUBMIT BUTTON BELOW. WE WILL GET BACK TO YOU SOON! Feel free make additional comments here if you have anything else to add to your application.
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