Sirve con World Medical Mission

El Programa World Medical Mission ubica doctores cristianos, dentistas y otros profesionales en medicina en servicios a corto plazo para ser voluntarios en hospitales y clínicas misioneras en África, Asia, Oceanía, América Latina y el Medio Oriente. Nosotros coordinamos los detalles de la asignación, que incluyen:

Compaginamos intereses, capacidades y tiempos con el hospital
Proveemos orientación y recursos espirituales antes y durante la asignación de servicio.
Coordinación del itinerario y boleto del viaje internacional.
Asistencia con las visas necesarias, permisos y otros requisitos del lugar asignado.
Coordinación para alojamiento y transporte del lugar asignado.

Paso 1 de 7

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Información Personal
Título*
Primer Nombre*
Middle Initial
Apellido(s)*
Mailing Address (temp_hide)
Calle Calle 2 Ciudad Estado Código postal
Dirección de correo
Mailing Address 1*
Mailing Address 2
¿Dónde estás tomando este curso?*
Estado / provincia*
State / Province / Region*
ZIP / Postal Code*
Street Address same as Mailing Address?*
- Sí
- No
Calle
Street Address (temp_hide)
Calle Calle 2 Ciudad Estado Código postal
Street Address 1*
Street Address 2
¿Dónde estás tomando este curso?*
Estado / provincia*
State / Province / Region*
ZIP / Postal Code*
Contact Details
Correo electrónico*
Correo electrónico confirmar
Primary Phone*
Primary Phone*
Tipo de teléfono*
Secondary Phone
Secondary Phone
Tipo de teléfono
Gender*
Date Of Birth*
MM barra DD barra AAAA
Are you physically fit to perform the volunteer services for which you are applying?*
- Sí
- No
Please enter any chronic health conditions or comments:
Your Profession/Occupation*

Physician Type
Physician Category*
Primary Specialty - Physician*
Primary Specialty - Physician - Type*
Primary Specialty - Physician - Subspecialty*
Primary Specialty - Physician - Subspecialty (Other)*
Please describe your subspecialty
Primary Specialty - Pediatric Subspecialty*
Primary Specialty - Pediatric Subspecialty (Other)*
Please describe your subspecialty
Secondary Specialty - Physician
Secondary Specialty - Physician - Type
Secondary Specialty - Physician - Subspecialty
Secondary Specialty - Physician - Subspecialty (Other)*
Please describe your subspecialty
Secondary Specialty - Pediatric Subspecialty
Secondary Specialty - Pediatric Subspecialty (Other)*
Please describe your subspecialty
Primary Specialty - Dentist*
Primary Sub-Specialty - Dentist*
Secondary Specialty - Dentist
Secondary Sub-Specialty - Dentist
Este campo está oculto cuando se visualiza el formulario
Any other specialties?
Medical Professional Specialty
Especialidad:*
Otro*
Please enter your medical profession.
Nursing Specialty*
Please enter your nursing specialty*
Nursing Subspecialty
Subspecialty
Empleos
Employer*
Practicing*
Year of retirement*
Presently involved in malpractice litigation?*
- Sí
- No
Please explain*
Board Certified?*
- Sí
- No
Certifying Agency*
Board Certification*
Current Staff/Faculty Appointments (Title, Institution, and Location)
Professional Organizations
Current Medical/Dental License or Certificate No.*
State/Province/Region Issued*
Expiration*
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Resume/CV Upload
Please attach a scanned copy of your resume or CV.
Files should be no larger than 5MB, and may be in one of the following formats: JPG, JPEG, GIF, or PDF.

Add file... Your file has not been uploaded.

Christian Testimony and Character Reference
Please have your Senior Pastor, Associate Pastor, or small group leader fill out and sign this form. Scan it and attach it to your application using the interface below.

Provide the complete mailing address, phone number, and email address of character references, as we may contact them for additional information.
Attach character reference
Please attach a scanned copy of your character reference from your pastor or other church leader.
Files should be no larger than 5MB, and may be in one of the following formats: JPG, JPEG, GIF, or PDF.

Add file... Your file has not been uploaded.
Nombre de la iglesia*
Character Reference Name*
Character Reference Phone*
Character Reference Email*
Correo electrónico confirmar
Denomination*
Offices and Activities in Church
Please provide us with a statement of your personal Christian testimony. Please address each of the following within your testimony: How and when you became a Christian; What Jesus Christ means to you in your daily life; your understanding of the basis of your salvation; and your devotional habits.*
Why are you seeking to serve in a Christian mission hospital or setting?*

Professional References
In order to properly process your application, please provide the complete mailing address, phone number, and email address of references who will be contacted for professional recommendations. A physician’s reference is preferred. For residents or fellows, one of these should be your department chairperson or advisor. The professional reference should be submitted on letterhead and sent as an attachment.
Attach professional reference 1
Please attach a scanned copy of your first professional reference.
Images should be no larger than 5MB, and may be in one of the following formats: JPG, JPEG, GIF, or PDF.

Add file... Your file has not been uploaded.
Attach professional reference 2
Please attach a scanned copy of your second professional reference.
Images should be no larger than 5MB, and may be in one of the following formats: JPG, JPEG, GIF, or PDF.

Add file... Your file has not been uploaded.
Professional Reference 1
Título*
Primer Nombre*
Apellido(s)*
Professional Reference 1 - Country of Residence*
Teléfono*
Correo electrónico*
Correo electrónico confirmar
Reference 1 Occupation*
Reference 1 Relationship*
Professional Reference 2
Título*
Primer Nombre*
Apellido(s)*
Professional Reference 2 - Country of Residence*
Teléfono*
Correo electrónico*
Correo electrónico confirmar
Reference 2 Occupation*
Reference 2 Relationship*

Missions Interest, Skills, and Experience
How many weeks are you available to serve?*
How much time (e.g. hours/day) are you available to volunteer while you are serving with your spouse/family?*
Dates Available*
Hospitals of Interest?
Countries of Interest?
Previous Mission or International Experience. Please include with whom, places, and dates.
Travel and Passport Information
Who will you be traveling with?*
List the name(s), relationship(s) and age of person(s) traveling with you*
Do you have a valid passport?*
- Sí
- No
Expiration date*
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Language(s) Skills
Please enter languages (other than English) that you speak, and your competency in each of them.

idiomas

El idioma	This is my native language	Comprehension	Overall	Reading	Speaking	Writing

Please tell us how you heard about this opportunity*
How you heard - Other*
Which conference? (hold CTRL to select multiple)*
Conference - Other*
Name of the personal reference*
Printed material(s)*
Other - printed material(s)*
Este campo está oculto cuando se visualiza el formulario
Are you interested in serving on a DART?
- Sí
- No
The Samaritan’s Purse International Disaster Assistance Response Team (DART) provides water, food, shelter, and medical care to victims of war, poverty, famine, disease, and natural disaster while sharing the Good News of Jesus Christ.
Programa de post-residencia
Is the Lord calling you to medical missions? Are you wondering how to make the transition from residency or fellowship to the mission field? If so, the World Medical Mission Post-Residency Program has been created for you. To learn more, visit our Post-Residency Program page aquí.
equipo de respuesta para asistencia en caso de desastres
- I am also interested in DART
If you are interested in hearing more about Disaster Assistance Response Team (DART) please check here and we will email you additional information. Please be aware that DART members are considered employees of Samaritan's Purse so you will need to complete a separate application and there is a required in-person security training prior to deployment.
Gifts Assesment
God has given everyone both physical and spiritual gifts that can be used to expand the Kingdom. Everyone can contribute. Please indicate the area(s) of service where you would like to lend support and your level of proficiency at each.
Office & Administration
For example: computer hardware repair/support, office software support, general office support, or related.
Maintenance/Construction/Physical plant operation
For example: Concrete/masonry work, carpentry, plumbing, electrical, welding, water systems, diesel/auto/machinery repair, gardening, painting, etc.
Hospital/Compound/Surrounding Area
For example: praying with patients/families/children, leading VBS, child care, arts & crafts, hosting meals, teaching, pastoral care, public health, nutrition, etc.
Other Gifts/Skills
Submit Application
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Paso 1 de 7

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Declaraciones de fe/conduta/práctica

Declaración de Fe

Declaración de conducta cristiana

Declaración de práctica

Please note:

Información Personal

Dirección de correo

Calle

Contact Details

Educación

Community/Technical College

College / University

Other Other

Professional School Section (hidden)

Medical School

Dental School

Other School

Residency

Fellowship

Other Education/Training

Military Experience

Physician Type

Medical Professional Specialty

Empleos

Christian Testimony and Character Reference

Professional References

Professional Reference 1

Professional Reference 2

Missions Interest, Skills, and Experience

Travel and Passport Information

Language(s) Skills

Gifts Assesment

Office & Administration

Maintenance/Construction/Physical plant operation

Hospital/Compound/Surrounding Area

Other Gifts/Skills

Submit Application