VOLUNTEER OPPORTUNITIES
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1. Your contact Info
                  First Name            Middle Name         Last Name     ProfessionalSuffix        
*  Name:           *  Gender:  
* Email:   
Contact Phone Number:
* Street 1:
  Street 2:  
* City:   * State:   * Zip:
* Country:  
2. Medical Volunteers
 DEGREE/TITLE: 
                                          *If Other, please specify
  Area of Medical Specialty: 
                                          *If Other, please specify
3. Non-medical Volunteers
  Non-medical skills: 
                                          *If Other, please specify:
4. Are you specifically interested in any of the regions Plasticos Foundation works in?
Select Region:
5. Languages Spoken
languages Spoken. Level of fluency:
please specify:
6. Have you been on volunteer medical missions in developing nations?



Where:
and with which organization?:

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plasticos
plasticos
Jose was born with a wide
cleft lip and palate as well as
deformities of his ears. This
operation is usually performed
in the first three months of life. Jose was already four years old when we met him.
plasticos


plasticos