Living Experience Volunteering

pre-registration form:

The fields marked with an asterisk (*) are mandatory.

To complete your registration, you must attach your Identity Document and CPF, a CV and a recent photo. Therefore, have these materials prepared before starting your registration.

Full name*

Social name

Email*

Date of Birth*

CPF*

RG*

Main phone*

Alternative Phone (family member or close friend)*

Nationality*

Gender*

Marital Status*

Do you have children?*

How many?

Site

Social Networks

ZIP*

Address*

Number*

Complement

Neighborhood*

City*

State*

Country*

Additional Information

Have you participated in any experience/course in Nazaré Uniluz?*

If yes, when?

How did you hear about the program?*

Which?

How do you describe your rhythm of life?*

What is your hobby/leisure?

Do you have any spiritual beliefs/religion? Which one?*

Some activities on campus start at 6:00 am. What would it be like for you to be part of this rhythm?*

Food

Our food is ovolactovegetarian (with vegan options), free from individual diets or regimes. 5 meals will be served: breakfast, lunch, dinner and 2 snacks – morning and afternoon.

Do you have any dietary restrictions?*

What would it be?

Additional Information

We do not use chemicals, cigarettes or alcoholic beverages on campus. Do you use any of these items?*

What would it be?

Have you ever had (or are doing) Therapy? How much time? Which line (Freudian, bioenergetics, transpersonal, etc.)?*

Are you currently undergoing medical treatment?*

What would it be?

Do you have any specific recommendations (allergies or physical limitations) regarding your health?*

What would it be?

Do you currently take ongoing medications? (prescribed or not, by doctors)*

What would it be?

What is your blood type?*

Do you have any of the conditions below?*

Is there any other information, pertinent to your physical and mental health, that we should know?

What are you looking for when choosing this program?

Write about your childhood, educational background, travels, languages, lifestyle, your family, friendship and intimate relationships and the What else do you think is important to tell us*

Authorization to use image and voice

Dear participant, the Nazaré Uniluz team occasionally captures images and videos on campus to promote our work. Would you like to voluntarily participate and contribute to us?

In this act, and for all permitted legal purposes, I expressly authorize the use and dissemination of my image and voice, definitively, irrevocably and free of charge, resulting from my participation in the audiovisual project.
The content may be published in Nazaré Uniluz's communication materials (videos, folders, social networks, website, etc.), in academic publications and publications, at national and international festivals and awards, as well as made available in the image bank resulting from the research and on the Internet.
The Nazaré Uniluz team is authorized to edit and assemble photos and filming, carrying out any reproductions it deems necessary, as well as producing the respective communication materials.
Yes, I agree with the above term regarding the use of image and voice.

Term of commitment

By writing my full name and today's date, I declare that I am AWARE of the total cost of the program and the cost and deadline for enrollment. I also take responsibility for the veracity of the information provided here.

Full name and Date*

Criado por Midia Positiva