Global Ambassadors Program Application

Thank you for your interest in TropicalClinics' Global Ambassadors for Rural Health Program.  Please see the program manual here: see PDF

Full access to the detailed program description is available with submission of the $58 application fee.  If you have any questions, please feel free to contact us.  Thank you!



Personal Information

 

 

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Application Information

What do you want to do?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If given a preference, which type of accommodation at the local guesthouse in Kakamega do you prefer? Each accommodation type includes breakfast.

 

 

 

Why are you interested in the outreach and Global Health program at TropicalClinics? Please write a 500-word personal statement that includes the skills/experiences you wish to gain and what skills/expertise you are offering to TropicalClinics outreach program.

For Students

Please note that students will likely travel together to Kenya, share lodging and accommodation, and serve together at the clinic. However, they may be assigned different activities at the treatment center.

Legal Questions

Have you ever been convicted of, or pleaded guilty or no contest to a felony or misdemeanor, or are there any criminal charges pending against you at the present time?

 

 

If YES, Please describe below the nature and date of the crime, any sentence you received, or other resolution of the matter, current status and date of any pending charge

Have you ever been disciplined or placed under academic sanction (for example: expulsion, suspension, probation or formal reprimand) by any high school, college or university you have attended, or are there disciplinary charges pending against you at the present time?

 

 

If YES, Please describe, in the space provided, the nature of the charges, the date on which the incident leading to the charges occurred, and any sanctions that were imposed or the status of the current charges

Are there any periods longer than 6 months during which you have been neither enrolled in school nor gainfully employed?

 

 



References

Please provide the names and contact information for two (2) personal references. They can be from an employer, a professor, teacher, work supervisors, volunteer supervisors or physician. We will NOT accept references from family members.

Please insert the two professional or academic references in the space provided. Each reference will receive an email with a link to the online reference form. Please remind your recommenders to check their emails as soon as you submit your recommendation request through the online application. Your application will not be completed until the reference form is submitted – please remind each reference to submit their recommendation as soon as possible.

Please complete and submit the application first before requesting submission of your references.
By submitting the names and contact information for your recommendations, you understand that each letter will be written in confidence, and you waive the right of access to the letters of references. You further understand that TropicalClinics reserves the right to contact these individuals during your application process by telephone or email.
 

Contact 1


Contact 2



Application Fee

[$58.00]



Billing Information

  

CVV2

$58.00


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