Are you currently employed in the medical field? *
If applicable, what are your current medical credentials? (MD, DO, NP, RN, LVN, OT, PT, SLP, etc.)
Your answer
Tell us a little bit about your medical profession and/or medical experience: *
Your answer
Would you be willing to have virtual appointments or consultations with children in Ukraine? *
In the past, New Song International has been part of sending medical teams to serve in Ukraine. If this need or opportunity arises again, would you be interested in possibly going? (This doesn't commit you to anything, just putting out feelers.) *
How did you hear about New Song International? *
Your answer
Do you have any questions or additional thoughts?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New Song International. Report Abuse