Medical Nursing Volunteer Application

Medical Nursing Volunteer Application

Contact Information
Release and Liability

Download the Release and Liability form here: http://operationofhope.org/wp-content/uploads/2016/12/OOH-Release-Liability-Forms.pdf

This form needs to be signed by two witnesses.

Go to http://www.fsmb.org/ and obtain your credential verification and the print out from the website or request it- Must be notarized.
Nursing License
Current Employment
Emergency Contact Information
Passport Information
Vaccinations / Medical Info
Have you had:
Nursing Experience
Additional Info

For team clothing such as polos & t-shirts

Medical & Dietary Information
Signature

By filling out the information below, you are electronically signing this form.

Application Process

Upon receipt of your application we will contact you by e-mail or phone. If you are selected for a volunteer position, the below items will be due by mail within two (2) weeks. All copies must be notarized:

    1. Current Resume or CV
    2. Current Licensure
    3. Current Board Certification (if applicable)
    4. Current CPR / BLS Certification (if applicable)
    5. Current PALS Certification (if applicable)
    6. Nursing School Transcripts
    7. Copies of diplomas
    8. Photocopy of Current Passport
    9. Three (3) Letters of Recommendation
      These letters must explain your ability to work as a part of a team in high-stress situations, and should provide a brief evaluation regarding your current field of work. One letter must be from the head of the department where you work. Letters should be typed on letterhead and include the author's contact information.
    10. Two (2) official Passport Size Photographs (not photocopies). Please write your first and last name on the back of each photograph.
    11. Release and Liability form signed by two (2) witnesses.

All documents should be sent to: Operation of Hope PO Box 99 Lake Forest, CA 92609

If you are chosen for a medical mission, all of your work will be done on a volunteer basis. You will provide all transportations costs to the mission site and Operation of Hope will pay for lodging during the duration of the mission. If chosen, we request you provide a minimum of 25-50 names and/or email or mailing addresses of family and friends, to be collected for our fundraising database.

Please use full name, including middle initial if applicable.

Maximum size 10MB

Maximum size 10MB

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