Exit

Question Title

* 1. Full Name

Question Title

* 2. Email address

Question Title

* 3. Telephone number

Question Title

* 4. How did you hear about the GUBA Foundation nurses volunteer programme?

Question Title

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

Question Title

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

Question Title

* 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)

Question Title

* 8. What year did you receive your nursing PIN?

Question Title

* 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?

Question Title

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

Question Title

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

T