Volunteer Application

MEMBER OF:

INTERNATIONAL
RELIEF TEAMS
4560 Alvarado Canyon Road
Suite 2G
San Diego, CA 92120-4309
619.284.7979 Office
619.284.7938 Fax
volunteers@irteams.org

Board of Directors
Chair: Brian Saunders, MD
Stephen Bickler, M.D.
A.C. D’Agustine
Harold J. Forney, M.D.
Lawrence Kohler
Susan Phife
Maria Roberts
Larry Saunders
David D. Tanner
A. Barry La Forgia

IRT Staff
Barry La Forgia,
Executive Director
Rose Uranga,
Director of Operations and Program Development
Susan Callahan,
Communications & Development
Tamra Mackevics,
Program Assistant
Diana Starnes,
Administrative Assistant
Shelley Kilcoyne
Grant Writer

Technical Advisors
Neonatology
Douglas N. Carbine, MD
Brian S. Saunders, MD
Terri Schneider-Biehl, NNP
Perinatology
Larry M. Cousins, MD
David B. Schrimmer, MD
Obstetrics
Christopher M. Lafferty, MD
Susan Faron, RNC, MSN
Midwifery
Kay R. Gilbert, CNM, Ph.D.
HIV/AIDS
Mitchell J. Besser, MD
Public Health
Oliver J. Biederman, MD
Ophthalmology
Frank A. Scotti, MD
K. Victor Zablit, MD
Construction
Walter Butcher
Timothy Connole
Peter Dudley
James Schaible

VOLUNTEER APPLICATION

At this time IRT can not accept applications from volunteers residing outside of North America.

Name Profession If healthcare professional, enter specialty: Address
City	State	Zipcode
Email
Home Phone
Cell Phone
Work Phone
Language Abilities: Spanish Other Languanges
Assignments may take some time to coordinate; the more flexibility you have, the easier it is to place you on an appropriate team.
Preferred area of assignment: Preferred time of assignment:
Other information about you, like medical teaching licenses, experience in construction, etc.: How did you hear of us?: Thank you for your interest in volunteering to help improve the lives of those less fortunate. We will contact you when we have a position that matches your skills and availability.