VOLUNTEER APPLICATION:
If you would rather download the application and mail it back, click the following link:
Volunteer Application in Acrobat (.PDF) format.
Please fill form out completely, and click "Submit" button when you are done. If you need to restart, click the "Reset" button.
Search for One, Inc., is a non-profit corporation organized for the purpose of providing evangelism through free medical and dental care to the needy people of the Republic of Kiribati. The mission uses sailing vessels to transport supplies, equipment, and personnel to the location of need. Achieving this goal requires that trained and competent personnel give freely and with no obligation, their time and resources, to provide services in an organized and coordinated manner.
All persons who volunteer in the field, work for free. In most cases food and shelter are provided by Search for One, and in some cases a stipend.
For more information please contact us at (509) 765-5255 or mail@searchforone.org
Contact Information:
First Name Last Name Middle Initial Street Address Address (cont.) City State/Province Zip/Postal Code Country Day Phone Evening Phone Social Security # Passport # Passport Expiration E-mail
*In order for us to process your application, please send a photocopy of your passport and a 2x2 passport size original photo.*
Position Applying For:
Mission Host Physician Nurse Dentist Dental Assistant Health Educator Airplane Pilot Builder Cook Other:
Physician's Specialties:
Family Practice Pediatrics Surgery Ob/Gyn Internal Medicine Other:
Term of Service:
Short-Term (Minimum of 2 weeks) Long-Term (Minimum of 6 months)
Field(s) of Expertise:
Health:
Have you had any serious illness in the last five years? (If yes, please explain.)
Have you had any major surgery in the last six months? (If yes, please explain.)
Do you have any physical disabilities, which would prevent you from performing duties relating to the position for which you are applying for? (If yes, please explain.)
Education:
What is the highest degree you have received and what institution did you receive it from?
Employment History: (Start with current or most recent position)
Position, Employer Name and Address, Dates, and Reason for Leaving.
May we contact the employers listed above for references?
Yes No
Personal References:
Name, Address, Phone Number, and Relationship. (One reference per line)
Pastor's Name: Church Name: Phone:
Pastor's Name:
Church Name:
Phone:
In Emergency Notify:
Name, Address, Phone Number, and Relationship.
Click "Submit" when you are done filling out the form. Please click it only once, even if it doesn't seem to be doing anything. If it doesn't send you to a confirmation page after a minute or two, then try again. Thank you.
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