RELIEF INQUIRY FOR MEDICAL PROFESSIONALS

If you have a burden for the region, a willingness to serve,
and a trained medical background,
use this form to inquire about working with FAI RELIEF on location.

Name *
Name
Phone *
Phone
Please list your WhatsApp number, or your primary phone number.
Is the above number also your WhatsApp number? *
For example: Skype: username, or FaceTime: number, or Google Meet: username, etc.
Date of Birth *
Date of Birth
Gender *
Please list the country that has issued your current, main passport.
For example: Physician, RN, EMT, Midwife, etc.
For example: ER, ICU, Pediatric, etc.
What date would be your earliest availability to join an FAI Relief team? *
What date would be your earliest availability to join an FAI Relief team?
A long term commitment is for any commitment longer than a year, a mid term commitment is for 3 months to a year, and a short term commitment is for any commitment for less than a month. Short term opportunities vary from location to location.