Volunteer Application Form 2020 Brigades

Volunteer Application Form 2020

Get a head start on your application for 2020! Kenya: February 1st to 13th 2020 Uganda & Rwanda: Dates TBD not confirmed; we may not offer these country options and we may add additional countries.
Select Outreach *
Are you a returning volunteer? If you are a new volunteer or if you volunteered in 2018 or earlier, please continue filling out this form. If you volunteered in 2019, you do not have to fill out this form again; simply email genevieve@bridgetohealth.ca to indicate interest. *

Yes No
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number

Address *

What position are you applying for? *
What is your current employment status? *

Employed Self-Employed Unemployed Student Retired
URL to LinkedIn Profile
Tell us about yourself and why you want to volunteer with Bridge To Health *
Upload a copy of your current registration and license. This is required if you are a practicing healthcare professional, otherwise your application will not be considered.

Browse Files

Cancel of
Are you, or have you ever been under investigation by your licensing body? *

YES NO NOT APPLICABLE
Upload your resume *

Browse Files

Cancel of
Should be Empty: