SAFE PASSAGE 4 UKRAINE HUMANITARIAN CRISIS RESPONSE Please complete and submit the volunteer application below Please enable JavaScript in your browser to complete this form.NAME *FirstLastEMAIL *PHONE *United States Citizen? *YesNoWhat is your Nationality?Can you commit to volunteering for a period of at least 3 months? *YesNoCan you commit to volunteering at least 15 hours per week? *YesNoFelony Conviction *YesNoMilitary Service? *YesNoAttach one of the documents below:DD-214DD-256Specialized / Medical Training? *YesNoType of Specialized / Medical TrainingCombat MedicRegistered NursePsychologistMedical DoctorParamedicSocial WorkerSurgeonPsychiatristCounselorPlease describe your educational background.Desired RolePlease upload your professional resume/ CV. Click or drag a file to this area to upload. How did you hear about us?Internet SearchSocial MediaWord of Mouth / ReferralOther (Please Describe)Additional InformationTrouble with this form?Submit
