1000 Smiles Application 2024/2025
Dear Potential 1000 Smiles Volunteer:

Thank you for expressing interest in volunteering on one of our dental projects in 2024/2025. 

Please note this is the first step to joining us. You will receive an email in 48 hrs confirming receipt of your application. If you are returning volunteer you should receive an approval email within a week. If you are a first time volunteer you should hear from us starting March 1st. 

Do NOT book airfare until you've received an official approval email outlining the project dates. 

We are looking forward to our best year ever! 
Sign in to Google to save your progress. Learn more
First Name (Your LEGAL FIRST NAME) *
Name you prefer to be called on nametag *
Last Name *
Email Address (if you are a dental or hygiene student please provide us with a non-school address HERE): *
  • Please note, if you are filling out an application for multiple people, YOU MUST provide a unique email address for each application you are completing. 
  • We CAN NOT send multiple packets (volunteer paperwork) to the same (one) email address. 
  • Dental and hygiene students PLEASE list your school email as your alternate in the next question.
Please provide an alternate email address in case of technical difficulties: *
  • Occasionally, we have technical challenges with DocuSign (especially with university emails) so it's helpful to have a 2nd email on file if you have one. 
  • If you don't have an alternate email please write N/a below. 
  • Dental and hygiene students, please list your school email address here.
Please select the one week that would be your first choice to volunteer: *
Please list alternate weeks (include island name) that you are available and willing to go if your first choice is not available. *
Best Phone Number Type *
Work Phone Number *
Cell Phone Number *
Home Phone Number *
What are the best days to reach you (please note if there are days that your office is closed) *
The best mailing address to reach me is my: *
Work Address - Street *
(include apt or suite #)
City *
State/Province *
Zipcode/Postal Code *
Country *
Home Address - Street *
(include apt or suite #)
City *
State/Province *
Zipcode/Postal Code *
Country *
Gender Identification (For Room Assignments Only) *
Birthdate *
(MM/DD/YYYY) Be sure to type this date in. Please don't use the drop down arrow because it auto defaults to the current year.
MM
/
DD
/
YYYY
Including this year, how many years have you volunteered on this project? *
Ex: If this is your first year volunteering you would select "2023 will be my first year volunteering" otherwise you'll select how many years you've volunteered
If you've been on multiple trips in the same year, tell us how many total trips you've been on:
T-Shirt Size *
Select which statement applies to your volunteer experience with 1000 Smiles and/or Great Shape! Inc. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Great Shape! Inc.. Report Abuse
Google Forms