Vision Health International Volunteer Application

Completing this application is the first step toward participating on a VHI field program. Once this form is completed, VHI will contact you and request additional information and documentation.  If you are selected for a field program VHI requires a nonrefundable deposit of $200 within 30 days to hold your spot. You will also be responsible for paying the total field program participation fee no later than 30 days before the trip. If you are not selected, you will be placed on a stand-by list. Preference is given on a first come first serve basis, with priority given to those with the specialties that are needed, and may depend on previous VHI experience.

You must have a passport before applying.

Important! Please enter your first and last name exactly as they appear on your passport. If you are waiting to receive your passport or professional license, please note this in the additional information field below.

Or you may download this form and mail or fax it. The directions are on the linked PDF form. 

Medical Staff Volunteer Application