Centre Hospitalier de Fontaine  Foundation VOLUNTEER PRE-REGISTRATION FORM 
WE ARE NOT YET ACCEPTING VOLUNTEERS, BUT ARE DEVELOPING A PROGRAM TO DO SO BY THE END OF Q2 , 2024 IF THE SOCIOPOLITICAL CLIMATE IS FAVORABLE. 




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Email *
First and Last Name  *
Phone Number  *
Mailing Address  *
Profession / Title ( If still in college, enter your Major) *
Level of Education (Please do not be ashamed. Everyone can help)  *
Which Volunteer Opportunity (ies) resonates with you the most ?  *
Ideally we would like to launch our volunteer program between April - June 2024 depending on the sociopolitical climate. Your safety is important to us. 

When do you believe you will be ready to start volunteering your time ? 
*
** In-Person Volunteers Only: How long do you believe your stay could be?  *
**In-Person volunteers only : Are you willing to lodge at the CHF Dormitories ?  *
Will you agree to a background , license check,  providing a reference list, and an interview ?  *
We are grateful that interest in volunteering with us despite the news about Port-au-Prince Haiti is high. However, when the time comes, a $150 - $500 registration fee will be required at the time of registration.

Why : To prevent us from spending our donors' hard earned donations, and our time on preparation for individuals with no real intention of following-through.

Would you like to receive the formal registration form via email when the time comes.
*
We will read your answer to our staff to encourage them. 

How did you hear about us ? 
How have we inspired you? 
Why are you willing to volunteer your time, when most people see a failed nation with no hope?
 Why is this important to you? 

*
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