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Volunteer Application

Basic Info

Purpose And Timing

Skills And Experience

(e.g. 4th yr.medical student, 2nd year PA student, certified medical technologist, certified diesel mechanic, licensed/bonded master plumber, etc.)
(e.g. Construction/Maintenance, Skilled Painter, Welder, Experienced Carpenter, Computer, Secretarial, Accounting/Administration, Teaching)
(fluent, conversant, functional, survival, hola) and would you require a translator (at $10 per day) to perform your duties at Hospital Loma de Luz. (This does not apply to 4th year medical students.)

Personal Information

(eg, education, experience, serving God, serving humanity)