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Project Name or Location:

Organization (if any):
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):

Project Description/Profile
Please answer as much as possible.
Begin Date: ,
End Date: ,
Types of volunteers needed:

Is prior experience needed:
Who pays for transportation, housing, food, etc. (and is it tax deducible):
Language skills needed:

Religious Affiliation (if any):

Additional comments:
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