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VOLUNTEER APPLICATION
1
Step 1
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Step 2
OratCare Institute of Health (OIH) encourages and invites the participation of volunteers who support our purposes, mission, vision, and goal. If you agree with our mission and purposes and are willing to be interviewed by members of our leadership team and trained in our procedures, we encourage you to complete this application. All information will be kept confidential and will help us to assist in the process of recruitment and screening of volunteers by gathering information about an individual’s suitability for a given volunteer role. An application form should be clearly laid out, avoid employment terminology, and only seek relevant information about the applicant. We highly recommend developing a volunteer to fill up the volunteer application form below. Thank you for your interest in our organization.
Name:
Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
Email
Employer
Position
Your special talents, skills, or interests that you feel will benefit our organization? Please be specific?
Volunteer Areas of Interests: Please check all areas that apply to you:
Event Support
Group Mentor Programs
Volunteering Recruitment/Outreach
Fundraising Assistance
Social Activity Planning
Other(s)
Please indicate days available:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times available: To
Hours
:
Minutes
AM
PM
AM/PM
Times available: From
Hours
:
Minutes
AM
PM
AM/PM
Please, list any physical limitations?
In case of emergency contact please indicate:
Please tell us why do you want to volunteer with our organization?
Please tell us what you hope to gain from your experience with us?
Please tell us about any educational background, work or volunteering experience that would be relevant to the volunteer role you are applying for.
If you have volunteered before, please give details of where you have volunteered, for how long and describe your volunteer role.
What hobbies, skills, special interests or qualities do you have that may be relevant to the volunteer role you are applying for?
References: Please supply us with the names of two referees (non-relatives)
1. Name
Address
City
State / Province / Region
ZIP / Postal Code
Email
Telephone
2. Name
Address
City
State / Province / Region
ZIP / Postal Code
Email
Telephone
Do you have any special needs you would like to share with us?
Any other comments:
As a volunteer of OratCare Institute of Health (OIH), I agree to abide by the policies and procedures. I understand that I will be volunteering to give back to my society and OIH cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis, and I am not eligible to receive any monetary payment, but OIH may be able to give a small reward.
Signature
Date
MM slash DD slash YYYY
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