Mission Trip Volunteer Information

We are so excited to have you join our service in Guatemala. But, first things first, we need to know a little (or a lot) more about you. Your volunteer experience will be enhanced by being as thorough as possible.

Mission Trip Date & Destination*

The Basics

Country*
Email*
Confirm Email*
Phone*
Date of Birth*

Employment Info

Please tell us a little about your employment status. Occasionally we have last-minute spots to fill on our teams. Let us know if your schedule is flexible enough to fill a critical-need spot on short notice.

Employer
Job Title

Professional Medical Designation

Every team has medical professionals as well as those with no medical background. All volunteers are welcome and needed! The information below will help us in assigning roles during the service week.

If you selected "Medical, Other", please describe:
Professional (Medical) License Type
Professional (Medical) License Number
License Expiration Date

Licensed OR professionals, please provide:

Is your medical career still a work-in-progress (well, aren't we all really?). Tell us a little more about your studies.

School/University Attending?
Degree/Program/Specialty
Projected Completion Date

Team Service Areas

Team roles and assignments are made not only based on your professional background or education level but with patient care needs as our utmost priority. Please check as many service areas below as you are trained/competent.

Service Areas

References

Professional Reference Name*
Relationship
Contact Email
Contact Phone
If yes, please explain:

Mission Trip Information

Passport Number*
Passport Expiration Date*
Issuing Country*
Name(s) of anyone traveling with you

Please provide health and dietary information that your Team Leader should be aware of. 

Medical Conditions
Current medications
Have you been vaccinated for COVID-19?*
  • Yes
  • No
Second Vaccine Dose Administered On:
Emergency Contact Name*
Relationship
Phone*
Email
Physician's Name*
Physician's Phone *

Refuge International does its best to accomodate food restrictions and dietary needs but please be aware that you may need to bring your own food options based on your specific dietary needs. Your Team Leader will reach out to you, if necessary, based on the information you provide here.

Food or other medical allergies:

Payment Info

Once your application is submitted and accepted, you will receive an email from Refuge International with online payment link or mailing instructions. Please check the boxes below to acknowledge that you have read the payment information.

Mission Trip Participant Fee Total:  $1,500

Trip fees cover in-country transportation, meals and lodging, language translator services, in-country travel insurance, your medical mission team t-shirt, one night hotel stay in Antigua (breakfast included) at the end of our service week. Mission trip payments also contribute in part to the cost of medical and surgical supplies (including patient medications) used during the service week.

 

All trip fee payments are non-refundable but can be held in credit for a future trip for up to two years (if a volunteer needs to cancel).

 

I understand the trip fee requirements*
  • Agree

Initial Trip Participant Deposit: $200 non-refundable

Your spot on the team will be confirmed when the deposit is received. The trip deposit will be allocated toward the total trip fee.

I understand the trip deposit information*
  • Yes

Extra Night In Antigua: $75 non-refundable

You have the option to stay an extra night (Saturday) at the hotel in Antigua at the end of our service week for an additional $75 (breakfast included). All hotel rooms are booked as shared occupancy.

I would like to stay the extra night in Antigua*
  • Yes, please!
  • No, thank you!

Payment Deadline:  Trip fee payment in full is due 30-days prior to your departure date. 

Your Mission Trip Participant Packet (including your team t-shirt) will be sent to you upon receipt of total trip payment.

I understand*
  • Yes

Application Submission and Next Steps

Waiver & Release:  I have reviewed and agree to the General Release, Waiver and Assumption of Risk

Agree*
  • Yes

Mission Trip Participant Code of Conduct:  I have reviewed and agree to the Code of Conduct

Agree*
  • Yes

Mission Trip Participant Public Disclosure Policy:  I have reviewed and agree to the Internet Public Disclosure Policy

Agree*
  • Yes

Designated Team Flights:  Mission trip participants are required to purchase their own air travel to/from Guatemala and designated team flight information will be posted by your Team Leader 3-months prior to the trip start date.

Do not purchase airline tickets until your spot on the team is confirmed and you have reviewed the designated flight information.  It is required to arrive on the designated team flights (or prior approval from the Team Leader for alternate flights) as in-country transportation and transfer to the hospital site is coordinated for the entire group. If you arrive separately from the group, your transfer to the hospital site will be a personal expense.  

 

Preparing For Your Mission Team Trip:  Once your spot on the trip is confirmed, your Team Leader will send you Travel Guidelines & Preparation information specific to the mission trip location. This information will include recommendations on travel vaccinations and packing lists.

We can't wait to see you in Guatemala!  Thank you!

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