Request Books for Your Service

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Thanks to a grant from the NorCal Peace Corps Association, Hesperian Health Guides can now provide our lifesaving books to any Peace Corps Volunteer who is from Northern California. Please fill out the questions below to request books. We generally can send 2 books but you may list up to 4 more in case we can expand the donation.

First Name *

Last Name *

Country of Service *

Dates of Service *

Role during Service *

How did you find out about this program? *

What books would you like to receive? *

Please select the TWO books most useful to your work from the list below.

Where There Is No Doctor

Where There Is No Dentist

Where Women Have No Doctor

Helping Health Workers Learn

Helping Children Who Are Blind

Helping Children Who Are Deaf

Health Actions for Women

Community Guide to Environmental Health

A Book for Midwives

Workers' Guide to Health and Safety

Disabled Village Children

A Health Handbook for Women with Disabilities

Recruiting the Heart, Training the Brain

Childbirth Picture Book

Helping Children Live with HIV

Required

What other books would you like? You may be able to receive up to 6 books total.

You may list the titles of up to 4 more books. Or you may request multiple copies of one or more books instead without exceeding 6 books total.

Email address *

Permanent address *

Mailing address to ship books to *

Street address or PO Box number

City or Town *

State/Province *

Postal Code *

Country *

If we are able to provide books, will you follow up with us in 6 months to tell us how you are using them?

Yes

Other:

Clear selection

Is there anything else you would like to tell us?

Add your comments or questions here. Please note we can only supply books.

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