Volunteer Form
The Black 6 Project consists of volunteers from a variety of backgrounds. Our leadership consists mostly of veterans but we embrace anyone trying to make a difference. We are currently looking for volunteers to assist with a project in Bolivia. The tentative dates for this project will be from May 16-30th and will take place in San Borja, Bolivia. Please tell us a little bit about yourself and we will follow up as soon as possible.
FULL NAME ( LAST, FIRST ) *
EMAIL *
PHONE NUMBER *
DATE OF BIRTH *
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LOCATION ( CITY, STATE ) *
MEDICAL BACKGROUND  *
Required
PREVIOUS MEDICAL MISSIONS  *
SECONDARY LANGUAGES  *
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