IDSA Grant Application for Ebola Volunteers Eligibility requirements: • IDSA member • Confirmed enrollment in volunteering program with credible NGO • Enrollment or completion of CDC training course, or other similar training course such as MSF training course • Confirmed deployment to West Africa after November 1, 2014Please fill out the entire form for your application to be considered. Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Institutional Affiliation Question Title * 4. Position Question Title * 5. Home Address Question Title * 6. Email Address Question Title * 7. Phone Number Question Title * 8. Organization volunteering with Question Title * 9. Planned date of departure Departure Date Question Title * 10. Planned location of deployment Please forward a letter or email from the NGO you are volunteering with to globalhealth@idsociety.org, to verify your deployment, along with letter or email verification from the CDC or other organization regarding Ebola training course registration or completion. Done