Brigade Application
  • Brigade Application

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  • Emergency Contact Information

    A person not on the trip
  • Travel / Passport Information

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  • Travel Insurance

    This will be purchased by HGW for you
  • Frequent Flyer / Rewards Program

  • Work Team Preferences

  • PHYSICIANS
    We must have a copy of your medical school diploma and current license to practice. We keep the diplomas from year to year so if you have traveled with us before we should have it on file. Send copies of your diploma and current license to brigade.info@hondurasgoodworks.org.

  • Everyone, including providers,  please be aware that you will be required to assist with the repacking of meds at night, and may be required to work in the pharmacy as part of your duties. Other duties may also be assigned as needed.

  • Team Safety

    We rent 4WD manual pickups to get around. You must be at least 21 to drive.
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  • Consent and Release for Background Check

  • I hereby authorize Castle Branch, Inc. and Honduras Good Works to request and receive any and all background information about or concerning me, including but not limited to my Criminal History including a consumer report under the Fair Credit Re- porting Act, 15 U.S.C. 1681, Driving Record, Employment History, Military Background, Civil Listings, Educational Background, Professional License from any Individual Corporation, Partnership, Law Enforcement Agency, and other entities including my Present and Past Employers.

    The criminal history, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudications and delinquent conduct as committed as a juvenile. I understand that this information will be used, in part, to determine my eligibility for an employment/volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history check may be repeated at any time. I understand that I will have an opportunity to review the criminal history as received by client/agency and a procedure is available for clarification, if I dispute the record as received. I also understand that the criminal history could contain information presumed to be expunged.

    I further release and discharge Castle Branch, Inc. and Honduras Good Works and all of their Subsidiaries, Affiliates, Officers, Employees, Contract Personnel, or Associates, from any and all claims and liability arising out of any request for information or records pursuant to this authorization, procurement of an investigative consumer report and understand that it may contain information about my character, general reputation, personal characteristics, and mode of living, whichever are applicable.

    I understand that I have the right to make written request within a reasonable period of time tor additional information concern- ing the nature and scope of the investigation. I acknowledge that I have voluntarily provided the above information for employ- ment/volunteer purposes, and I have carefully read and understand this authorization.

  • IGNORE THIS PAGE FOR MINORS!

  • Code of Conduct

  • Consent, Liability Release and Indemnification

  • Photo Release

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