Volunteer With PAMA

Availability Due to the nature of our missions in conflict areas, the dates and duration of our medical missions to Gaza are subject to change based on several factors, including local events, political circumstances, and the availability of resources from organizations like the World Health Organization (WHO). Missions typically last from 2 to 4 weeks, depending on the specialty required, and dates can shift with little notice. Please provide the following information to help us plan effectively and consider your availability in the context of these dynamic conditions:

Latest possible end date

Describe any long-term commitments that might affect your availability throughout the year (e.g. academic calendar, employment obligations)

Ability to Respond to Last-Minute Calls

Please list any specific dates or periods when you know you will not be available to participate in a mission due to other commitments

Are you able to stay 4 weeks if needed?

Yes No

Have you previously been rejected from any emergency medical mission?

Yes No

Have you previously been rejected from any emergency medical mission?- If yes, please list reason why

Please provide any additional information regarding your availability that can help us better plan and utilize your skills effectively during our missions.

Medical Self Declaration- Do you have any health conditions that we should be aware of?

Blood Type

Consent to Join WhatsApp Group To facilitate effective communication and updates, the Palestinian American Medical Association (PAMA) uses WhatsApp groups. These groups are essential for sharing mission-related information, coordinating logistics, and providing support. By consenting to join, you agree to: • Use the group for official, mission-related purposes only. • Maintain confidentiality and respect within the group. • Adhere to all group guidelines and conduct rules.

I agree to be added to the PAMA WhatsApp group and understand I can opt out at any time.

Whatsapp #- If you consent to be added to the WhatsApp Group, please provide the phone number associated with your WhatsApp account including country code if applicable

Background Check Policy Agreement Consent to Conduct Background Check: By submitting this application, I, [Applicant’s Name], hereby provide consent to the Palestinian American Medical Association (PAMA) to conduct a comprehensive background check as part of the screening process for the medical mission to Gaza. I understand that this background check is essential for assessing my suitability to participate in the mission, ensuring the safety and security of all team members, and maintaining the integrity of PAMA’s operations. Scope of Background Check: The background check may include, but is not limited to, the following: • Criminal History: Verification of any criminal records that might affect my ability to participate in the mission. • Employment Verification: Confirmation of my employment history, particularly positions held in medical or humanitarian fields. • Educational Verification: Confirmation of my educational credentials as stated in my application. • Reference Checks: Contacting the professional and personal references provided to ascertain my professionalism, ethics, and suitability for the mission. • Identity Verification: Ensuring the accuracy of my identity details such as name, date of birth, and nationality. Privacy and Confidentiality: I acknowledge that all information obtained during the background check will be treated with the utmost confidentiality by PAMA. Access to this information will be limited to personnel involved in the recruitment process. Any decision made as a result of this background check will be communicated to me, and I will have an opportunity to discuss any adverse findings before a final decision is made. Declaration and Signature: • I declare that the information provided in my application is true, complete, and correct to the best of my knowledge. • I understand that providing false or misleading information can be grounds for rejection of my application or termination of my involvement with PAMA at any stage. • I agree to cooperate fully with PAMA during the background check process and provide any additional information or documentation as required.

I agree to the Background Check Policy as described above.

Terms and Conditions By submitting this application, I agree to the following terms and conditions: 1. Compliance with Mission Requirements: I commit to fulfilling all requirements as outlined in the volunteer role description, including preparation, participation, and post-mission responsibilities. 2. Adherence to Codes of Conduct: I will adhere to all ethical guidelines, codes of conduct, and operational protocols set by the Palestinian American Medical Association (PAMA) during the mission. 3. Accuracy of Information: I certify that all information provided in this application is true, accurate, and complete. I understand that any false or misleading information may result in disqualification from the selection process or termination of my involvement in the mission at any stage. 4. Changes and Cancellations: I acknowledge that mission dates and details can change due to external factors beyond PAMA’s control. I agree to remain flexible and cooperative in the face of such changes. 5. Risk Acknowledgment: I recognize that participation in missions in conflict zones involves inherent risks, and I accept these risks voluntarily.

I agree to the Terms and Conditions.

Privacy Policy Consent I consent to the Palestinian American Medical Association (PAMA) collecting, storing, and using my personal information for the purpose of processing my application and managing my involvement in the medical mission. I understand that this includes: • Personal Data Use: My personal data will be used solely for purposes related to the mission, including but not limited to selection, training, deployment, and necessary communications. • Data Sharing: My information may be shared with relevant partners and third parties as necessary for the execution of the mission, under strict confidentiality agreements. • Data Security: PAMA is committed to protecting the privacy and security of my personal information. Adequate security measures are in place to prevent unauthorized access, disclosure, modification, or destruction of my information. • Data Retention: My personal data will be retained by PAMA only for as long as necessary to fulfill the purposes for which it was collected, as required by law, and for audit and record purposes. • Right to Access and Correct: I have the right to access my personal information held by PAMA and request correction of any inaccuracies. • Withdrawal of Consent: I understand that I can withdraw my consent at any time. However, I am aware that this may affect my eligibility or ability to participate in the mission.

I consent to the Privacy Policy as outlined above.

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