Long/Short Term Volunteer Midwife

Name:*

First NameLast Name
Birth Date

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*

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Are you interested in long or short term volunteering?*

Short term 3-6 monthsLong 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?
# of births attended as primary midwife
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?
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?

YesNoNo, but I will raise support
Please upload your resume.

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