Volunteer in Cincinnati

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[ November 14-21 2024 ] | [ January 16-23 2025 ] | [ January 23-30 2025 ]
Cost per trip: $2300

Please fill out all fields to reserve your spot today

You will need your passport number and medical license (if applicable) to compete the application

Name as appears on passport(Required)

Name I go by for trip(Required)

Passport Number(Required)

Passport Issue Date(Required)

Passport Expiry Date(Required)

Passport Issuing Country:(Required)

Your Email(Required)

Date of Birth as it appears on passport(Required)

Phone(Required)

Trip Departure Date(Required)

I would like to fly from this city(Required)

If not available, second choice is from this city(Required)

Tee shirt universal size(Required)

Emergency Contact Name(Required)

Emergency Contact Number(Required)

US Citizen or Country(Required)

Professional medical degrees if any(Required)

Roommate preference (if you have one)(Required)

Any food allergies or food preferences?(Required)

What is your sub specialty in your profession?(Required)

If you have a medical license, what is the type, number and state licensed?(Required)

What is your "day job" while back home?(Required)

Have you been to Belize or any other mission?(Required)

Each year, we create a booklet for our team members with your picture and a short bio to take on the trip. In the space below, please write a short paragraph about yourself that you are willing to share with others (like where are you from, if you have been to Belize before, hobbies, etc).(Required)

Each trip includes a free day before we travel home. Please choose one (you can change your mind in Belize.

Lamanai Ruins

San Pedro

Orchid Bay Resort

The most important skill is being available, but do you have construction, medical, translation, music, or other skills (you never know what might be needed)?(Required)

Please upload a picture of yourself as well as your signed waiver (jpg or pdf files only, and keep them under 20MB, please)(Required)

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 GB.

I want to stay extra days on this schedule:

Don't buy my airline ticket with group

Yes, I realize that Belize and the group I am volunteering to attend does not require vaccinations, but I am taking personal steps under my doctor’s guidance to travel to Belize in Central America as I weigh the personal risks of coming.(Required)

Yes

Download our Liability Waiver & Mission Statement here

I have read and agree with both the mission statement and the liabilitywaiver by clicking this.(Required)

Yes

CAPTCHA

Please send in your $500 deposit to reserve your spot today and make checks out to: Partners For Medical Relief, PO Box 43254, Cincinnati, Ohio, 45243. Your balance will be due approximately one month before departure date. Please note, we can accept credit cards but a 3% service charge will be added to the total cost applied to the cc.