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Volunteer with Wills CAGO
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Wills Eye Global volunteer form
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Name
*
First
Last
Email
*
other, interest your
Institutional Affiliation
If fellow or attending physician, please list your subspecialty.
What is the nature of your interest in working with CAGO?
*
Provide surgical training to residents at partner organizations
Give didactic lectures on a specific topic
Assist in curriculum development (remotely or in-country)
Become involved in clinical or public health research
Help coordinate outreach or screening events in Philadelphia
Other
(Please select all that apply)
If other, please describe below
Are you available to work abroad?
Yes
No
What sites are of interest to you?
Haiti (both the Haitian University Eye Hospital and Vision Plus Clinique)
Rwanda (both Rwanda International Institute of Ophthalmology [RIIO], Kabgayi Eye Hospital)
Kibuye Eye Hospital, Burundi
Select all that apply.
Any comments or questions?
Submit