Volunteer Application
Thank you for your interest in volunteering with Hospitals for Humanity. All fields in the application are required.
I am applying for *
Required
Basic information
First name *
Last name *
Phone number *
Address *
City *
State or Province *
Zip or postal Code *
Country *
How did you hear about Hospitals for Humanity *
Required
Professional information
Please select your profession *
Required
Job title *
Current job description *
Languages spoken *
Emergency contacts
CONTACT 1 *
CONTACT 2 *
CONTACT 3 *
A Creole-speaking patient at an MMI clinic is in dire need of medical attention.Her clinical signs are shortness of breath, head trauma and bleeding from ahead laceration. What will you do? *
A patient at an MMI clinic has labored breathing. Our facility has oxygen but no means of supplying the patient with it (nasal cannulas or masks).What will you do? *
In 300 words or less, tell us why we should select you. *
NOTICE
In addition to completing the application, volunteers are required to complete and submit four documents prior to their participation in any of our Initiatives.
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