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Learn More about the Ready Fund Christmas Campaign

Medical Volunteer Form

 We are currently recruiting Doctors, Nurses, Respiratory Therapists and other medical
professionals for medical outreaches and disaster response.

If you are interested in joining the FDR Medical Team,
fill out the form below to receive more information!

Name(Required)
For the full statement, visit https://foursquare-org.s3.amazonaws.com/resources/Print_Brochure_What_Foursquare_Believes_English.pdf
MM slash DD slash YYYY
Address(Required)
Do you have a valid Medical License?
Have you ever been charged with or convicted of a crime, including either a felony or a misdemeanor?”(Required)
This field is for validation purposes and should be left unchanged.

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