Clinical Flight Crew Volunteer Application

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* 1. To volunteer for Haiti Air Ambulance you must have a minimum of 2 years of rotor wing air medical experience.  You must be currently employed by, or have been employed within the last year by a rotor wing air medical service.  CAMTS Accreditation is preferable. Current licensure in your home state, ACLS, PALS, BLS, and a trauma course are mandatory.  

Your application will be reviewed, and potential candidates will asked to conduct a phone interview.  Once that screening is complete, candidates will be asked to provide references and copies of all certifications and valid passport. A negative COVID test less than 72 hours old is required for entry into the country.  Volunteers will be tested on arrival to HAA as well. 

Haiti Air Ambulance provides transportation to Haiti, transportation while in country, housing and meals.  Volunteers are responsible for any needed vaccinations, COVID testing, and repatriation insurance. 

Volunteers are selected for their ability to operate in a highly uncontrolled environment with no back up resources available.  Haiti Air Ambulance has broad Clinical Guidelines and provides care at or above US flight program standards, with RSI, chest tubes, U/S, HFNC, Revel ventilators, etc. 

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* 2. Name:

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* 3. Phone

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* 4. Email

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* 5. I reside in

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* 6. Have you volunteered with Haiti Air Ambulance in the past?

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* 7. If yes, when was the last time (month / year) you volunteered with Haiti Air Ambulance?

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* 8. Do you have at least 2 years of rotor wing air medical transport experience?

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* 9. Have you ever, volunteered, worked in, or lived in Haiti in the past?

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* 10. I am

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* 11. How many years experience total do you have with rotor wing air ambulance transport?

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* 12. My current (or most recent) rotor wing air ambulance employer is:

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* 13. Do you have a current Passport this is valid for at least 6 months?

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* 14. If you do not have a current Passport, are you in the process of obtaining one?

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* 15. I can commit to volunteering with Haiti Air Ambulance for a total of ________ days including travel days:

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* 16. I am licensed as a (select all that apply):

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* 17. I am current in the following certifications (select all that apply): 

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* 18. Are you able to (check all that apply):

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* 19. How did you learn of volunteer opportunities with HAA?

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* 20. Briefly explain your interest in volunteering with Haiti Air Ambulance as a clinical flight crew member:

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* 21. What dates would you be available to come volunteer if selected?

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* 22. What is your flight-ready weight in pounds?

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