Health Ministries for Haiti

Care for a Community in Crisis

Volunteer Application

If you are interested in joining HMH as a volunteer, please fill out the following questions and hit the “Send application” button a the bottom. For additional questions, feel free to contact us info@hmhaiti.org.

Your name*:

Address*:

Phone*:

Email address*:

Occupation*:

Other licensures (if applicable):

Special interests or skills:

Please list any previous mission experience you have (previous experience not mandatory):

Please explain your interest in working with Health Ministries for Haiti (300 word max.):

Preferred dates of travel (dates still tentative):

January 8-15, 2012

January 15-22, 2012

How did you hear about Health Ministries for Haiti, Inc?

Please include one letter of reference from a non-family member.

Letters of reference should be emailed to: info@hmhaiti.org
and are due no later than September 15, 2011.

*Required

©2012 Health Ministries for Haiti, 9 E Spyglass Court, Madison WI 53717 • All rights reserved. | Privacy Policy
Health Ministries for Haiti is incorporated in the State of Wisconsin and has earned 501(c)(3) status from the Internal Revenue Service.