NAPS

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Volunteer Registration

Disclaimer: Due to the high volume of doctors in Port au Prince, Haiti NAPS will not be working in the capital, but we will be backpacking up the mountains to the surrounding small towns and villages where there is no medical treatment available.

First Name: *
Last Name: *
Address:
City:
State:
Country:
Primary Phone#:
Marital Status:
Do you have children?: Yes No
Email: *
Citizenship* Profession:
Church Name: Pastor's Name:
Church Address:
 
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Mailing Address:

Box 196
Oakwood University
Huntsville, AL 35896
Phone: 256.726.7056
Email:  info@napsoc.org