2011-2012 Chapter Volunteer Application

We look forward to working with you. Thank you for your commitment to public health and eliminating preventable blindness.

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Important Instructions

Training Application

Section I
*First Name and Middle Initial:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Email:
*Confirm Email:
*Country:
*Telephone:
*Birth Date:
*Age:
*Year of Graduation:
*Gender:
*Chapter:
Position (If you were assigned to an officer position, please select the position from this menu. If you are not an officer, please select "Volunteer"):
*Password:
*Confirm Password:
Section II: Short Essays

Please be thorough, but succinct. Unite For Sight staff reads every registration application, so be sure to submit quality responses that confirm that you have watched the videos and learned the important information.

1. Please view the Unite For Sight in Ghana Video and write a 1-paragraph summary.You will learn about the Unite For Sight international programs for which you will be fundraising.
2. Please view the Unite For Sight Impact Description and write a 1-paragraph summary.You will learn about the Unite For Sight international programs for which you will be fundraising.
3. Carefully review the 2011-2012 Chapter Manual and discuss details in each module that you feel will be helpful when you volunteer with your chapter of Unite For Sight. Please clearly label each of your responses with the module number. For example, "MODULE 1: ....", "MODULE 2: ...."
Declaration

I understand that in order to become a Unite For Sight Chapter Volunteer, I am required to submit a $24 donation at the time that the application is submitted. The $24 donation is equivalent to a $2 commitment per month to provide eye care to patients living in extreme poverty. I have read and accept the above declarations.

*Name (Signature):
*Date:
* denotes required field

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