Volunteer Toolkit Contact Us Donate Now

Online Membership Form

Step 1: Select your gift amount

Would you like to become an Ambassador-At-Large, HVO’s recurring payment program? Click Here

Suggested membership support levels for health care professionals (members may join a Circle of Giving listed below)

Physicians & Dentists $125
Nurses & Allied Health Professionals $60
Those in Training $30
None $0

Be part of our Leadership Giving Program
Join a Circle of Giving !
President's Circle $5,000 or More
Chancellor's Circle $1,000 to $4999
Dean's Circle $500 to $999
Professor's Circle $250 to $499
Other $
(any amount over $15)

If you are a health professional, please indicate your specialty:

Anesthesia
Burn Management
Dentistry
Dermatology
Hand Surgery
Internal Medicine
Nurse Anesthesia

Nursing Education
Oral & Maxillofacial Surgery
Orthopaedics
Pediatrics
Physical Therapy
Other (list specialty):

 

Would you like program information sent?
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Publications

If you are interested in ordering the following, please indicate the number of copies desired:

A Guide to Volunteering Overseas ($25.00 per copy)   copies.

2008 Teach-Travel-Learn: Volunteering with Orthopaedics Overseas workshop CD $35 

“Compass Points” Music CD $25  

“Teaching the Healers:The Story of Health Volunteers Overseas” an award winning documentary DVD $15  

HVO Poster $15  


Add $6.00 each for international postage
items


HVO is registered with the IRS as a 501(c)3 non-profit organization. Dues and donation are tax-deductible to the extent permitted by law. When you click on the "Continue" button below, you will be taken to a secure page where you may enter your credit card information. Thank you for your support!

Step 2: Membership Information

* Prefix (Dr. Ms. Mrs. Mr):

* First Name:

* Last Name:

* Phone:
(xxx-xxx-xxxx)

* E-Mail Address:

How did you hear about us?


Please specify, if not in list.

* required field