1. General Questions
1.1. Name
1.2. Sex
1.3. Nationality
1.4. Age
1.5. Spoken languages
2. Availability Questions
2.1. Availability Dates (minimun two months)
2.1.1. From
2.1.2. To
2.2. Tentative travel date
2.3. Departure place
3. Expertise Questions
3.1. Clinical volunteers (yes or no answers)
3.1.1. Pysician
3.1.1.1. An MD or equivalent medical training and board certification in a medical specialty.
3.1.1.2. A minimum of 2-3 years of progressively responsible leadership in delivery health care in resource-poor settings.
3.1.1.3. Current or recent clinical practice.
3.1.1.4. Experience with critical care patients.
3.1.2. Nurse
3.1.2.1. At least three years of recent experience working in an acute care setting
3.1.2.2. Current or recent clinical practice.
3.1.3. Laboratory Technician
3.1.3.1. Degree in laboratory technology and/ or microbiology
3.1.3.2. At least three years of recent experience working in an acute setting
3.1.3.3. Knowledge of laboratory testing quality-control methods
3.2. Non-clinical volunteers
3.2.1. Chose from these areas of work, which one is the closest to your expertise
3.2.1.1. Transport
3.2.1.2. Supply
3.2.1.3. Logistics
3.2.1.4. Sanitation
3.2.1.5. Other