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Registering an Individual in Three Easy Steps
If you are coming as a couple, family or small group, please go through the Team Registration process instead
 
STEP 1

It is vital for us to match up skills with the project schedule so please click here to see a printable schedule of when specific skills are needed.

Before you proceed to register, please read the "Haiti Work Team FAQs" page. 

Step 2
Choose at least 2 sets of tentative dates for your trip. You must be 18 years or older and willing to serve for at least five or more work days. Dates of arrival must be scheduled between
 June 26, 2010 and September 15, 2010.All travel to and from Port Au Prince is Air Travel. Transportation to and from PAP to the worksite will be provided.  

When making your flight arrangements it is very important that your days of arrival and departure fall on Friday, Saturday, Sunday or Monday,  ONLY!   When booking your flights, please try to use Sundays as your last option.  There is no transport on any other days of the week.


Do not purchase an airline ticket until you have received confirmation from Diane Jacobson.

STEP 3
Complete the form
below. After you submit the form it will go blank.You will hear back from us within 2-3 business days to verify your information of your dates.

CLICK HERE to see a checklist that will help you organize as you get ready to come.

Please complete all fields below.

Disaster Response Location
Church/Organization Info
Please note that you do not need to be a member of a church to sign up


Church/Organization Name:

Church/Organization Phone:

Church/Organization Street Address:

Church/Organization City, State, Zip:

Personal Info


Your First and Last Name:

Your Cell Phone Number:

Your Email Address:

Required Information! 
Are you an experienced tradesperson (concrete laborer or finisher,
electrician, plumber, sheet rock installer or finisher, carpenter
(rough or finished), iron worker, etc.)?

Required Information!
Requested arrival date and time of arrival in Haiti:

Required Information!
Requested date of departure from Haiti:

Passport Reqiured!
Do you have a valid Passport?
Please read Passport FAQs.

I have read and understand the FAQ section to my satisfaction (check if yes):

Is there anything else we should know?

Thank you for filling out this form. When you click the submit button,
the page will re-load and the entry fields will be blank again.
Once you submit you will recieve an email within 2-3 business days.
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