Volunteer

Please fill out the Saint Francis Participation Form and click submit. Someone will get back to you about your skills and time frame for serving.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
MM slash DD slash YYYY
Name as it appears on Passport*
Mission Date
MM slash DD slash YYYY
Mission Destination
Specialty*
Medical/Surgical Specialty (Describe)
Nursing Specialty (Describe)
Other (Describe)
Current employer/affiliation
Languages spoken
Previous Mission Experience (where/when)
- I understand that this is a voluntary humanitarian project and I am responsible for any and all personal expenses incurred relative to this mission including but not limited to airfare, room and board, immunizations and other incidental travel costs. I understand that if funding is made available, reimbursement is not guaranteed and will be based on the needs of the project. Any reimbursement authorized will be dispersed at the end of the project within a reasonable period of time following return from the mission with proper expense verification.