Dental Volunteer Application

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Are you a member of AFDVI? Have you paid your membership fee this year?
Gender
Address

Professional

Checkboxes
Checkboxes
Are you a member of an Academy of Dentistry or Alpha Omega?
Currently Practicing Dentist?
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REQUIRED – IF YOU DO NOT ATTACH THIS, WE CANNOT CONFIRM YOUR VOLUNTEER PERIOD
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

Volunteer Information

Please note: there should be at least one month between the end of your volunteering and when your license expires.
How did you find out about DVI?
Would you be willing to help DVI fundraise in your area?

Volunteering preference dates (apartments at DVI are available from Friday to Friday). Volunteering is from Sunday to Thursday. Friday of Arrival:

Would you like to be hosted for Friday night Shabbat meal?
How many family members are joining you?
If you are not sure now, please let us know a week PRIOR to your arrival, as we will provide sheets and towels for the number of guests you are having, in addition to 1 dentist. Note: Radak can accommodate up to 3 people (couple and 1 guest). Ramat Eshkol can accommodate up to 8 people, as there are two double bedrooms and two foldout sofas.