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GLOBAL HEALTH FELLOWSHIP APPLICATION FORM

Thank you for your interest in working with Global Emergency Care. Please complete the following application entirely to begin your journey.

Note: You will be prompted to upload your CV and three Letters of Recommendation to complete this application. If you cannot upload the Letters of Recommendation at this time, you can send them to volunteer@globalemergencycare.org within two weeks after submitting this application.

    ABOUT YOU

    First Name

    Last Name

    Phone

    Phone Type

    Date of Birth

    Email

    Address

    Emergency Contact Name

    Emergency Contact Phone

    Relationship to Contact

    Are you working with or on behalf of an organization?

    YesNo

    How did you hear about GEC?

    FELLOWSHIP QUESTIONS

    Please respond to the following questions, which will allow us to become more familiar with your past experiences and current motivation for seeking a Global Health Fellowship with GEC.

    What position are you applying for?

    When would you like to begin your service?

    When would you like your service to conclude?

    Based on your understanding of the Emergency Care Practitioner Training Program, which aspects of the program are most interesting to you?

    Briefly summarize any experiences you have had working with individuals who have different educational and cultural backgrounds from yourself.

    What is your understanding of what your role will be?

    Describe the specific strengths and assets you bring to your volunteer role.

    ADDITIONAL DOCUMENTS

    In this section you will be prompted to upload your CV and three Letters of Recommendation. If you cannot upload the Letters of Recommendation at this time, you can send them to volunteer@globalemergencycare.org within two weeks after submitting this application.

    Please upload your Curriculum Vitae

    Letter of Recommendation 1 (Not Required)

    Letter of Recommendation 2 (Not Required)

    Letter of Recommendation 3 (Not Required)

    All applicants must read the following two document before finalizing their application.

    1. Fellow Policies

    2. Release & Waiver of Liability

    In witness whereof, the undersigned Fellow has executed this Release in the following state and city, as of the date submitted above.

    Your name, serving as signature

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