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Add Organization

Please fill out the form below, then click "Preview" to view your organization's information before submitting it.


Name of Organization:
Web Address (e.g. http://www.internationalhealthvolunteers.org):
Address:
City:
State/Province:
Zip:
Country:
Phone:
Fax:
Primary Contact (e.g. John Smith):
E-mail Address (e.g. admin@internationalhealthvolunteers.org):

Organizational Description/Profile
Please answer as much as possible.
Organizational Mission Statement:
Organizational commitment to train local personnel to perpetuate health promotion activities:
Consistent and prolonged investment with a particular region, clinic, or hospital:
Specialities of volunteers needed:
Keep CTRL pressed to select multiple
If not in a list please write below


Regions/geographic locale of most projects:
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If not in a list please write below


Religious affiliations (if any):
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Additional comments:
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Proud affiliate of Duval County Medical Society
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