Name:
*
First Name
Last Name
Birth Date
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Month
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Day
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Year
Phone Number:
*
-
Area Code
Phone Number
E-mail Address:
*
Address:
*
Street Address
Street Address Line 2
City
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Postal / Zip Code
How did you hear about us?
*
Facebook
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Are you interested in long or short term volunteering?
*
Short term 3-6 months
Long term 6-12 months
Are you certified? If so, what type of certification.
*
What makes you want to volunteer with us?
*
How many years of experience do you have?
Please Select
5 or less
5-10 years
10-15 years
# of births attended as primary midwife
Please Select
50 or less
50 +
100+
500+
Do you have experience as a community midwife in a low resource setting?
We have two birth centers in Mexico. One is located in Southern Mexico in the state of Campeche. While the other is located in Northern Mexico in the state of Chihuahua. Which center are you interested in volunteering at?
Please Select
Chihuahua - hot & dry
Campeche - hot & humid
This is a volunteer position. Our organization will offer free airport pick up however we will NOT cover the cost of your airfare, food or housing. Private house cost $450 USD monthly, shared house cost $225 USD monthly. Do you have the financial means to support yourself during your time with us?
Yes
No
No, but I will raise support
Please upload your resume.
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