REGGG – Jamaica Dental Mission

Short-Term Volunteer Form *

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Form A – The Medical Act Form *

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Work Permit Exemption Application Form *

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Credit Card Authorization Form *

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Emergency Contact Form *

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Certified Copy of Basic Degree Certificate – the one that says “Doctor of Medicine”

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Current License (If your profession requires one)

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Names and Addresses of 3 Medical References

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2 Photographs (passport size) *

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If you were trained at an Offshore Medical School and have a Board Certificate, you will need to submit this. Optional

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E-mail *

Hotel - Royal Decameron Montego Beach Rates include lodging, meals, and transportation. Triple rate rooms may only include two beds. Room Preference *

Radio Field

Double ($679 per person) Triple ($644 per person)