IHELP GLOBALLY
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APPLICATION FOR LICENSED PROFESSIONALS ONLY
(MD, DO, PA, NP, RN, DDS, DPT, DP)
We limit our team size; therefore, please submit your application as soon as possible. Please schedule the required 30-minute phone interview by submitting the best day/time to reach you in the indicated field. Our phone interviews are casual and designed to provide you with an opportunity to ask questions and learn more details.
Please check out the
sample itinerary
for your chosen session(s), as well as the
FAQ
prior to your interview. If you need to reschedule, please contact us at
info@ihelpglobally.org
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Current Position and Employer
*
Total years of experience (in current field)
*
License/Certificate Number (& Issuing State/Country)
*
Choose your session(s) of interest. (Or please suggest a new session date in the comments field found below).
*
9/17/19 - 9/24/19 PERU: PUCALLPA
Custom Trip: Enter Dates in Comments
Do you speak Spanish? If so, please describe your level (Fluency is not required):
*
Have you participated in similar programs? If so, please describe your experience (including location):
*
If you would like to participate with others, please list names to ensure you are placed on the same team.
*
Have you ever been convicted of a misdemeanor or felony? If yes, please explain. (Failure to answer this question truthfully may jeopardize your participation.)
*
HOW DID YOU HEAR ABOUT US?
*
FACEBOOK/INSTAGRAM
LINKEDIN
INTERNET SEARCH: [GOOVERSEAS.COM]
INTERNET SEARCH: [MEDICALMISSIONS.ORG]
INTERNET SEARCH: [VOLUNTEERFOREVER.COM]
INTERNET SEARCH* [OTHER; PLEASE LIST BELOW]
FRIEND/COLLEAGUE [PLEASE LIST NAME BELOW]
OTHER* [PLEASE LIST BELOW]
Have you ever had your professional license/certificate suspended? If so, please explain.
*
HOW DID YOU HEAR ABOUT US: OTHER
*
INDICATE N/A IF NOT APPLICABLE
What are the best days/times to reach you for a 30-min phone interview? [Include your Time Zone]
*
Comments or Suggestions
*
Do you have a question, concern, or would you like to travel during a time that is not listed above? Please indicate here and we will discuss during the interview.
Submit
Home
General
Session Info
Locations
Cut Costs
FAQ
Mentors
General Info
Application
Students
Volunteer Abroad
>
Application
Registered
Intern (in the U.S.)
Start a Chapter
Gallery
Contact Us
Blog