Volunteer Application

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Join Us on One of Our Mission Trips to Ghana

* Indicates required field

Please list any allergies and any health issues we should be aware of. *

Volunteer Application

Name *

First

Last

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Phone Number *

Email *

Occupation/Profession *

Best Way to Contact *

Which dates are you applying for? *

Future Healthcare/Education Trip 2021 Service trip

What program are you applying for? *

Mobile Healthcare Clinic Community Development/Educational Program Both

What position are you interested in? *

Medical Provider Dental Provider Nurse OT/PT Other Health Professional (Please specify in comments) Children's Program General Helper Girls Health/Reproduction/Safety Education Boys Gender Equality Forum Dementia Awareness/Sensitivity Training Sports/coaching Disabilities Other interest or skill (specify below)

Comments (Please include your experience and skills) *

Please explain what position you would like and what skills, experience or interest you feel qualify you for that position. List any degrees or certifications you may have.

Have you been on a trip with us before? *

yes no I have been on mission trips with another organization

Explain previous mission trip experience, if any *

Do you have a valid passport? *

yes, it is valid 6 mos beyond the trip date no, but will get one if accepted

Have you ever been convicted of a crime? If yes, describe fully below. (A conviction will not necessarily be a bar to participation.) *

yes (describe fully below) no

Describe *

If convicted of a crime please describe fully in this box.

If accepted, will your participation as a volunteer be contingent on the acceptance of another person? *

yes no

If yes, what is the name of that person? *

Name of team member you would like to share accommodations with during the mission if possible: *

T-Shirt size (choose one) *

These are men's size t-shirts

Please list any food preferences or restrictions: *

Is there any other information we should know about? Please tell us why you would like to be included in this mission trip. *

Agreement and Policy: It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability. By submitting this application, you affirm that the facts set forth in it are true and complete. You understand that if you are accepted as a volunteer, any false statements, omissions, or other misrepresentations made by you on this application may result in your immediate dismissal. *

Type your signature

Please note: A $250 non-refundable deposit is due to hold a spot on the team once we contact you. It will be refunded if you are not accepted for the trip.

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ASAP (Americans Serving Abroad Projects) Nonprofit Overview and Reviews on GreatNonprofits

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A.S.A.P.(Americans Serving Abroad Projects), Inc. is a non-profit organization
Tax ID # 47-1151284