This form has multiple parts:
- Application fee submittal
- Contact information (your name, etc.)
- Your skill set (what you do)
- Medical, beneficiary, and emergency contact information
- Previous experience with medical/dental missions
- Your preferences (what trip may work for you)
- Personal statement
The Cape CARES application fee is $25 and will be applied toward your volunteer fee.
In order for your application to be given consideration, we must receive your
fee within 5 business days of receipt of your application.
This fee is nonrefundable unless all trips for which you have applied
are fully-staffed at the time we receive your application.
You may use either method of payment below for submitting the application fee:
a) via PayPal – use link below and write "Application fee" in the purpose field, or
b) by check -- please make check payable to Cape CARES and mail to: Cape CARES, P.O. Box 1049, East Orleans, MA 02643
|Spanish Speaking Ability:
|Spanish Reading/Writing Ability:
Professional Area of Expertise
If there are medical concerns we should know about, please indicate below.
EMERGENCY CONTACT INFORMATION
If we need to contact someone on your behalf, who should we call?
Cape CARES provides emergency medical and evacuation insurance, please designate a beneficiary.
PREVIOUS VOLUNTEER AND/OR INTERNATIONAL EXPERIENCE
Tell us about any medical, dental, mission volunteer experiences and/or international experiences.
Please select your top three choices.
Download and read
the Volunteer Agreement
By submitting this Form you confirm that you have read and agree to the Terms and Conditions of the Volunteer Agreement.
If the form does not submit, you may print out the form, sign and send to: Cape CARES, P.O. Box 1049, East Orleans, MA 02643,
or you may print out the form, sign and scan as a pdf, png or jpg and email to: firstname.lastname@example.org
Cape CARES is an independent, nonprofit humanitarian organization. It is unaffiliated with and not a subsidiary of any other organization.