Potential Volunteers Form
Name *
Surname *
Telephone Number *
Your Skype or MSN account
Your email *
Contact time Time of day when you would prefer to be contacted by Planet Doctors
Profession *
Experience Experience (length and type of experience, including any previous experience in developing countries)
Reasons for your interest Reasons for your interest in volunteering for Planet Doctors?
Availability When would you be available to volunteer for Planet Doctors and for what length of time?
Geographical area Is there any geographical area that you are particularly interested in or that you would prefer not to visit?
Any other details or comments
Please attach a brief CV