HVO Volunteer Application

Tell Us About You
Please complete the form. All items marked * are required for submission.

Your Full Name *This question is required. (First & last name)

Indicate Your Degrees (e.g. PT, MD, RN, etc.)

Gender (optional)

Your Primary Email *This question is required. This question requires a valid email address.

Phone Number

Phone Type

Please attach your CV: *This question is required.

File: {{filename}} delete

Professional License

Do you have a current professional license? *This question is required.

Date your current license expires *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Have you ever had your professional license revoked, suspended or put on probation? Have you been subject to any other professional disciplinary action(s)? *This question is required.

If yes, please explain.

More Info

Where would you like to volunteer?
Visit Our Program Page to find where HVO works.

Please indicate known dates of availability:
Include month & year.

Please describe any international experience(s) you have that is not included on your CV:

Briefly indicate why you are interested in volunteering. *This question is required.

SHARE YOUR REFERENCES
This section must be completed. Please be sure to notify your references so they are aware that they may be contacted by a representative of HVO. Type N/A if the information is not available.

Reference One - If applicable, please list your current or most recent supervisor.

Full Name *This question is required.

Write-In Relationship *This question is required.

Email *This question is required.

Phone/Skype *This question is required.

Affilliation *This question is required.

Please enter an 'other' value for this selection.

City *This question is required.

State *This question is required.

Country *This question is required.

Reference Two

Full Name *This question is required.

Write-In Relationship *This question is required.

Email *This question is required.

Phone/Skype *This question is required.

Affilliation *This question is required.

Please enter an 'other' value for this selection.

City *This question is required.

State *This question is required.

Country *This question is required.

Reference Three

Full Name *This question is required.

Write-In Relationship *This question is required.

Email *This question is required.

Phone/Skype *This question is required.

Affilliation *This question is required.

Please enter an 'other' value for this selection.

City *This question is required.

State *This question is required.

Country *This question is required.

7. How did you hear about HVO?

If other, please note here:

Check the box to acknowledge that you have read and agree to abide by the following statement when volunteering with Health Volunteers Overseas: *This question is required.

HVO volunteers will demonstrate the highest standards of professional and personal conduct at all times. Sensitivity to cultural and social beliefs and practices of the host country should guide professional and personal behavior.

Are you a citizen or resident of the European Union? *This question is required.

Check the boxes to acknowledge and consent to the following statements: *This question is required.

I understand that the information I have voluntarily provided on this form will be used as part of HVO's volunteer assignment process and that it will be shared with relevant parties including HVO project directors and on-site contacts.
I further understand that HVO does not sell or share personal information with other organizations and that HVO will delete my CV and application 3 years after date of submission.
I agree to HVO's Privacy Policy and understand that data submitted through this form may be stored.
I understand HVO will contact me with the information provided above to inform me about the volunteer placement process, to provide organizational updates and requests, and to inform me of additional volunteer news & opportunities.

HVO Volunteer Application

TELL US ABOUT YOU