FORMS

Forms

Information

Forms are a large part of your duties as a team member. It is critical we have all the information we need before the deadlines.

SIGNATURE PAGE

This form is due by DECEMBER 15th.

PASSPORT COPY

This form is due by February 15th.

U OF U CONSENT TO TREAT

This form is due by March 15th.

U OF U HIPPA FORM

This form is due by March 15th.

BACKROUND CHECK

This form is due by January 15th. Backround checks need to be completed with Youthlinc every 3 years.

PHYSICIAN RELEASE FOR MINOR

Any participant under 18 needs to have approval from a physician. These are due by March 15th.

MEDICAL INFO FORM

All participants will complete a medical information form. This will allow the medical mentor to have the proper information to keep you safe and healthy during the international trip. This is Due on April 15th.

FORMS

Forms

Information

SIGNATURE PAGE

PASSPORT COPY

U OF U CONSENT TO TREAT

U OF U HIPPA FORM

BACKROUND CHECK

PHYSICIAN RELEASE FOR MINOR

MEDICAL INFO FORM

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