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Please check the ones that apply to you.
I am a practicing Catholic
I am a US Citizen
I have completed a residency program
I am interested in serving long-term (three years)
I am interested in serving short-term (one - three months)
My specialty is
I prefer follow-up contact by
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Marital Status
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Is your spouse interested in service?
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What is your spouse's occupation?
Do you have any dependent children?
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Do you have any international service experience? If yes, let us know where and when.
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Do you speak a language in addition to English? If yes, please list languages
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How did you learn of the Mission Doctors Association?
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web search
recommendation of friend or colleague
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