SNEC Medical Volunteers/Professionals Registration Form
Southern New England Conference invites you to register with us below as a licensed/trained medical professional and/or individual willing to volunteer and be trained as a medical missionary. By completing this form, you are consenting to our use of your information to contact you as a volunteer for evangelistic health projects through our SDA church organization.
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Email *
First Name *
Last Name *
Mailing Address:
Phone # *
Age: *
Are you a licensed/trained medical professional? (Please note that licensed or trained professionals will be asked to provide official documentation/license# before being permitted to provide medical treatment or advice under such title.) *
What is your area of medical experience/specialty/practice? (If this does not apply please write n/a) *
Are you a member of the Seventh-Day Adventist Church? *
If you answered yes to the above question, kindly provide what SDA church you currently attend:
State in which your church is located?
What areas of medical missionary work are you interested in focusing as a volunteer? *
Would you be willing to volunteer in some of these other non-medical capacities?
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