VOLUNTEER TO HELP

We are actively looking for trained medical professionals to join us on our mission trips. Please complete the form below and upload a copy of your CV (submissions will not be considered without a copy of your CV). We will be in contact with you shortly.

We currently are in need of anesthesiologists, scrub nurses, and PACU nurses. If you know of anyone that may be interested in helping, please direct them here.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Professional Status

Expiration Dates

Please list expiration dates for your medical license, specialty certificate (if applicable) and passport

Employer/Residency-Fellowship Program

Employer/Program Address

Prior Medical Service Experience

Prior UHMLA Experience

List dates of any previous UHMLA team participation or N/A

Prior UHMLA Fundraising Experience

List any previous UHMLA fundraising involvement or N/A

Do you speak Spanish?

Yes

Upload your cv