Submitted by admin on Sat, 01/04/2014 - 15:53 Full Name * First Last Phone Number * Email * Skype ID Group Information Are you traveling with a group? If so please use this area to state your group's affiliation and purpose for volunteering in Haiti. Availability * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019 During which months/days are you available for volunteer assignments? Duration of Stay * Duration you are interested in staying in Haiti. Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Additional Languages Spoken Interests Tell us in which areas you are interested in volunteering. Resume * Please upload your resume. Our volunteer coordinators will review your information and contact you shortly.