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Please fill in and submit the following application to begin the process of becoming a volunteer with Proyecto Salud y Paz.

First Name:
 Last Name:
Address 1:
 Address 2:
City:
 State:
Country:
 Zip Code:
Church Affiliation:
 Home Church:
Phone:
 Fax:
E-mail:
Type of Volunteer:
How long can you serve? (minimum 1 month)
When do you plan to arrive?
What skills do you bring to the clinics?
Describe your present language ability.
Why do you want to serve in Guatemala?
Have you had previous volunteer experience? Please describe.
List 3 things you desire to gain from your experience in Guatemala.
Describe your personality in 2 sentences.
Have you read and do you accept the Guatemala VIM Policies?CLICK HERE to read the VIM Policies.

And last but not least, please have 2 individuals who know you well (one professional and one personal)

e-mail a letter of reference to Phil Plunk at pplunk@pchtx.com.


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