ࡱ>   Root EntryZ O2~uYCONTENTS &CompObjVSPELLING8_______________________ Date of Issue________________________________ Place of Issue _______________________________ Signature________________________________________________ Date _________________________ Remit signed and completed Application to: 602 So. Ogden Street . Denver Colorado 80209 PH 800-543-1171 . F 303-649-9017 . E-mail: Kim@humanitariantours.com of your volunteer service project, is due with this application. (If Global Humanitarian Expeditions is not able to accept your appl4@BD,.002DFX Z \ ^ \ J j l  T V  np(z|02@(2"'( ) @S ,2"'( ) @S  @D,.^ ` T h j l  T V (|rrr` ""  ""   "  ""  "PS"   "  "  ""  ""  ""  dTSHdTSH " " tt(3dONTTimes New Roman " " "XX*,hp deskjet 3600 series!@d߀ odBeRLdArialHBeںں\\YOUR-W92P4BHLZG\hp deskjet 3600 series,LocalOnly,DrvConvertCHNKWKS &TEXTTEXTFDPPFDPPFDPCFDPCSTSHSTSHSTSHSTSH2SYIDSYIDPSGP SGP dINK INK hBTEPPLC lBTECPLC FONTFONT<STRSPLC :PRNTWNPR FRAMFRAM$TITLTITLr%PDOP DOP %" Remit signed and completed Application to: 98Global Humanitarian Expeditions Volunteer Service Application A $500 non-refundable deposit, which is applied to the cost of your volunteer service project, is due with this application. (If Global Humanitarian Expeditions is not able to accept your application, your deposit will be refunded.) By signing this form you agree to the terms and conditions as stated on the reverse side of this agreement. I. SERVICE PROJECT INFORMATION (please print) SERVICE PROJECT NAME:___________________________________________________________ POSITION APPLIED FOR:_____________________________________________________________ (IE. Lay Person / Medical Assistant / Doctor-Dentist) *If you are applying as a Medical Professional, would you accept a general volunteer position if the position you are applying for has already been filled: YES______ NO______ DEPARTURE DATE___________________________________________________________________ II. PERSONAL INFORMATION (please print) Name_________________________________________________________________________________ (Last Name) (First Name) Address_______________________________________________________________________________ (Street #) Address_______________________________________________________________________________ (City) (State) (Zip) Telephone: Home____________________________ Business___________________________________ E-mail Address__________________________________ Fax Number_____________________________ Occupation ____________________________________________________________________________ Date of Birth_____________________________________ Nationality ____________________________ (Day) (Month) (Year) Passport No._____________________________________ Exp. Date_______r*XX(winspoolhp deskjet 3600 seriesUSB001F"\""V""` "``""A."@"\""V"$c"` "``"."(1.1) Volunteer Service Application.wps""p"pp (" )""  ""  Z O2Quill96 Story Group Class9qy;y;{;Wy;\y;