Completion of this form will enter you into our database of potential volunteers. When the situation stabilizes and an invitation is issued by the Methodist church of Haiti for volunteers - we will use this and other venues to notify volunteers and field specialized teams.
Potential Volunteers should be certain that their inoculations and passports are within current guidelines. Normal UMVIM team paperwork will need to be completed by teams once they are formed.
Please address any additional questions to your jurisdictional coordinator.
Last Name
First Name
Email Address
Phone Number (xxx-xxx-xxxx format)
Zip Code
Annual Conference
Skills
Medical Construction Chaplain
Language Proficiency French Haitian Creole Spanish
Prior Haiti Experience Team Leader Team Member
Date of Last Trip
UMVIM Team Leader Training Yes No
Safe Sanctuary/Background Check Yes No
Early Response Team Training Yes No