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"My first Interplast trip was absolutely unbelievable. I fell in love with the country, its people and was thrilled to be a part of something so big and helpful for the children." —Emily Ulm, Interplast volunteer nurse

Volunteer Today!

Join our volunteers in spreading the gift of healing around the world.

* Team Members should not plan any international travel one month prior to the departure date, due to difficult visa authorization processes. Interplast will hold team members' passports until the visa is obtained.

Due to excess baggage issues, a maximum of five team members will be given permission to extend your stay and Interplast will ask you to pay $100. No deviations from the team itinerary can be allowed for Mali and India.

Please fill in all required fields

Name:

(required)

Specialty:

(required)

Please check the box next to the trip(s) you are interested in volunteering for (you can check more than one):

Surgical Team Trips

Dehradun, Uttaranchal, India: Fri. 9/10 - Sat. 9/25/10

Bamako, Mali: Fri. 9/24 - Sat. 10/9/10

Dhaka, Bangladesh- Hand: Fri. 12/3 - Fri. 12/17/10

Phan Rang, Ninh Thuan, Vietnam: Fri.1/7 - Sat 1/22/11

Quang Ngai, Vietnam: Fri. 2/18 - Sat. 3/5/11

Pucallpa, Peru: Sat. 2/12 - Sat. 2/26/11

Cao Lanh, Dong Thap, Vietnam: Fri. 4/1 - Sat. 4/16/11

Quy Nhon, Binh Dinh, Vietnam: Thu. 4/14 - Sat. 4/30/11

La Paz, Bolivia - Hand (to be confirmed): Sat. 5/7 - Sat. 5/21/11

I need at least notice to go on an Interplast trip.

Home Phone:
Work Phone:
Cell Phone:
Pager:
E-Mail Address:	(required)
Mailing Address:
City:
State/Province:
Postal Code:
Country:

Interplast volunteer nurses are required to answer the following questions if they want to be considered for a trip this fiscal year:

1. Currently employed in:

2. Years of experience in above specialty:
3. Number of Interplast trips you've been on:
4. Date of last Interplast trip:
5. # of days worked per week in specialty
6. % of pediatric patients in current practice:
7. % of adult patients in current practice:
8. Name of current supervisor:
9. Phone number of current supervisor: