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1. Full Name (Required.)

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2. Email address (Required.)

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3. Telephone number

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4. How did you hear about the GUBA Foundation nurses volunteer programme? (Required.)

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5. Where do you practice currently? Please confirm the name of the hospital/medical setting.  (Required.)

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6. What area of nursing do you specialise in? Adult/mental health/child etc (Required.)

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7. Have you got two or more years practicing experience as a registered nurse in the UK or USA? (This does not include practicing as a student nurse) (Required.)

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8. What year did you receive your nursing PIN? (Required.)

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9. What are your reasons for wanting to volunteer in hospitals in Ghana? What would you like to gain by the end of the experience? (Required.)

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10. Are you prepared to cover your personal costs for the volunteering experience? i.e. flights, visa, expenses and accommodation. (Required.)

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11. When are you available to travel to Ghana year and month

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