Nuevas Sonrisas Trip Volunteer Application
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Email *
Full Name as it appears on your passport *
Nickname - preferred way of addressing you *
Pronoun *
Address *
Mobile Phone *
Other Phone
Tell us why you are interested in joining the Nuevas Sonrisas Dental Team. *
Do you have any Dental Experience? Please describe. *
Are you comfortable working with individual or groups of young children?  Please tell us your experience working with or being around them. *
What other skills do you have that may be useful on our team? *
Do you speak, read, and write Spanish? *
Briefly describe your Spanish language experience.
Have you worked, lived, or traveled in developing countries? If so, briefly describe. *
Are you able to carry your own bags and help move and set up a dental clinic (some moderate lifting required)? *
Are your immunizations up-to-date?  If not, will you do so prior to our trip? *
Do you have any limitations or concerns (emotional, medical, physical) that may affect your functioning on our team?  Please describe.
Who referred you to fill out this application?
Would you like a board member to contact you about available scholarships?
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