“*” indicates required fields Are You Ready to Volunteer?! We are thrilled to learn that you are interested in joining us to deliver “Healthcare for Both Ends of the Leash” in Guatemala! We are excited to partner with the team from Heart of Travel to ensure this trip is fulfilling and fun. We want you to have a fantastic volunteer experience. As such, please tell us about yourselves by answering the questions below. We love getting to know new people and we want to ensure your time spent with us is rewarding. Please answer the following questions as thoroughly as possible. Wanna See What the Trip is About? Here’s a detailed itinerary The Basics Name* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Middle Last Name you commonly go by* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email Phone* Would you like to share a room?* NoYes To help us match travelers for room sharing please state your gender* MaleFemale Date of Birth* MM slash DD slash YYYY Employment Status* Currently employedRetiredStudent, not workingTaking a Break Employer* Job Title* How did you hear about People & Pets Project?* Heart of Travel Facebook Instagram Google search Other Describe* Professional Designation We need medical and veterinary volunteers, but we would not be successful without volunteers who have other skills to contribute. All are welcome and needed! The information below will help us in assigning roles during our time together. If you are not a licensed medical/veterinary professional, please skip to the next section. If you are a student, please skip to the following section. If you are a licensed medical/veterinary professional, please fill out the following: Professional Medical/Veterinary Designation* DOMDNPPAParamedicRNDMV/VMDVeterinary Technician / Veterinary AssistantOther Speciality* Surgical Glove Size* Please Describe* Non-Medical/Non-Veterinary Professionals Please let us know what type of work and community service you have done in the past.* Are you a Student or Resident?* NoYes What school/university are you attending?* Degree/Program/Specialty* Do you speak Spanish?* NoYes Team Service Areas Meeting the needs of the community we are serving is our first priority. Please check the service areas below where you are interested in helping and are trained/competent. Human Clinic Patient Intake Patient Provider Triage General Support Veterinary Clinic High Volume Spay/Neuter Surgeries (DVM only) Patient Surgical Prep (experience required) Patient Recovery Administration General Support General Social Media and Photography Interpreter (must be fluent in Spanish) References Professional Reference Name* Relationship* Contact e-mail* Contact phone* Felony Criminal Record?* NoYes If yes, please explain:* Travel Information Passport Number* Passport Expiration Date* MM slash DD slash YYYY Issuing Country* Medical Conditions Emergency Contact* Relationship* Phone* Email* Food or other medical allergies Diet* I’ll eat anythingPescatarianVegetarianVegan Payment Information One Health International, Guatemala Participant Fee – The prices below do not include airfare:* $1,350 per person, double occupancy $1,195 student rate, double occupancy $495 Single fee For a detailed itinerary with all that your trip fee includes, please click here. We encourage everyone to explore more of Guatemala after we are finished with our clinic. Heart of Travel has several extension trips for you to consider adding to your trip. To learn more and sign up, please click a destination below:Lake Atitlán, 3 days / 2 nightsPetén, 3 days / 2 nightsRío Dulce and Petén, 5 days / 4 nights Consent* I understand the trip fee requirements.* Terms and Conditions All project fees are nonrefundable and nontransferable to other persons and/or other People & Pets Project opportunities. Upon acceptance of your application, a deposit of $250 is due to hold your spot. We accept payment in full at any time or you can pay in two installments of $650 each. The first installment is due February 15, 2025. The second installment is due April 20, 2025. We encourage volunteers to purchase travel insurance to cover any unforeseen illness, injury, or extreme weather causing flight delays and/or cancellations. You can purchase affordable travel insurance here. Cancellation Policy In the event this trip with People & Pets Project and our partner, Heart of Travel, is not canceled by us but rather by you, the traveler, and you have chosen not to join the trip for whatever reason, including COVID-19, then the following policy will apply: Cancellation 181 days or more before the trip’s start date: Fully refundable minus a $50 administrative fee.Cancellation 121-180 days before the trip’s start date: Loss of entire deposit, the rest of the trip payment is fully refundable. Cancellation 75-120 days before the trip’s start date: Loss of entire deposit with 50% of the trip payment refundable.Cancellation 1-74 days before the trip’s start date: No refunds are guaranteed. Consent* I understand the Terms & Conditions and Cancellation Policy.* Once you have submitted your application, you will receive an email from People & Pets Project with participation confirmation and online payment information. We will also send mailing instructions for those of you who prefer to mail a check. We look forward to meeting you and working with you! Δ