Summer 2016 Medical Mission Interest Form
Are you interested in joining a medical mission trip? Do you want to give back by volunteering in community clinics and being immersed in local culture? Would you like to raise awareness about the health status of a population and make on impact on issues that are affecting the everyday lives of Filipinos?

Let us know! This summer, PCH is having a medical immersion trip to the Philippines in partnership with the University of the Philippines. In order to finalize details, we (the Medical Outreach directors) are trying to get a feel for how many people would be interested and available to attend the medical mission.

Note: This is not an official application. More details will be sent out to everyone in the near future. Keep checking the newsletter for updates!

Name (First and Last): *
Your answer
Email:
Your answer
Are you interested in joining the medical mission? *
Would you be available the week of June 20th? *
(This is our tentative mission trip date.)
Any questions? Concerns?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service