. .: T H E H E A L F O U N D A T I O N :. .

Summer 2006 Volunteer Application

*If you are a medical student, some of the questions will not apply to you. Please use Question 2 to discuss how this project fits into your medical school career.

Personal Information:

Name:		Phone:
Address:		Email:

Can you commit to investing 5 hours per week in preparation time from
May 1^st through July 15^th? Yes No

If no, but you would still like to apply, please tell us what might prevent you from making the commitment.

Will you be in Provo and available summer of 2006? Yes No

Education:

Name of School you are attending:

Year in School:

Major/Minor:

What is your undergraduate GPA?

4.0–3.8
3.8–3.6
3.6–3.4
3.4–3.2

3.2–3.0
3.0-2.8
Below 2.8

If you feel that your GPA misrepresents your ability to complete tasks in a timely and satisfactory manner or that it reflects poorly upon what you can contribute, please explain.

Experience:

Mark the following areas of experience/interest:

Advertising
Agriculture
Arts
Communications
Community Development
Computer Skills
Education/Teaching
Fundraising
Health
Language Skills

Logistics
Nursing
Project Planning
Web Design
Other

Please take a moment to elaborate on the areas marked above. Describe to what extent you have skills in each area.

Short Answers

In order to help us learn a little more about you, answer the following three questions. Please limit your responses to approximately 300 typed words.

Question 1

HEAL Volunteers must be culturally sensitive and accepting of different customs. Give an example that illustrates your ability to have an open mind to beliefs, customs and cultures different from your own. (Examples can be taken from work, school, or community service in the U.S. or abroad)

Question 2

Why do you want to serve as a HEAL Volunteer and how has your life's experiences, education, long term goals, etc… helped you prepare to meet the physical, emotional and mental challenges that serving abroad often presents?

Question 3

HEAL Volunteers will be placed in a project where they have the most experience and/or desire to serve. Preparation before, and follow through with assignments are essential for a successful project. Give an example that illustrates your ability to:

take initiative and follow through with a project
work with and encourage others
solve problems