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Thank you for your concern for the people of Haiti and for your willingness to assist. The Pan American Health Organization and the World Health Organization have rosters of trained, assessed and qualified individuals within and outside the Organizations who are available for rapid deployment to emergency situations. In addition, PAHO/WHO is compiling an electronic roster of individuals who meet basic criteria.


When you register your name in this roster, you will be asked to provide PAHO with certain information including, but not necessarily limited to, valid contact information (e.g., telephone number, email address, etc.), skills, and employment information. You understand and agree that PAHO may disclose and share your information in whole or part to any and all entities participating in the Health Cluster in Haiti. You also understand that this roster database is intended to provide PAHO and the Health Cluster in Haiti with a list of potential volunteers to assist in the current efforts in Haiti, and there is no guarantee that your skills will be required by PAHO or any partner in the Health Cluster in Haiti.

Please fill the form below and attach your resumé (CV):

*First Name  

*Last Name  

Core Data




Cell phone  




Postal Code  


Date of Birth  *Day    *Month    *Year   



*Languages (please select your level in each one):

French Creole
English Spanish

*Years of experience    years

*Specialty: medical, public health, disasters   

Administrator Architect
Attorney Civil Engineer
Informatics Medical Doctor
Medicine Nurse
Other Public Health
Sanitary Engineer Scientist

*Technical Skills   

Administrator Coordination
Disaster Mitigation Environmental health
Epidemiologist Information/Communication
Logistics Logistics (Response)
LSS Instructor LSS Operator
Management Medical Coordination in Disasters
Mental Health Mitigation/Safe Hospitals
Multisectorial Disaster Coordination Public Health Disaster Coordination

*Type of Experience   

Academic (Universities & Scientists) Bilateral Donors
Civil Defense Health Ministry
Health Other Health Social Security
Military Mass Media
Multilateral / Regional Non-Governmental Organization
Other Red Cross
other UN agencies (no WHO/PAHO) WHO or PAHO


Conditions of service in Haiti are currently classified as harsh to extremely harsh. As such, volunteers need to understand that they will be required to be self-sufficient in terms of travel, lodging and food, at least in the early stages following deployment.

*Do you consider yourself to be self-sufficient (food, water, lodging and travel): 

From:   *Day    *Month    *Year   

To:   *Day    *Month    *Year   

*Volunteer or contract? 

*As a security phase is in effect in Haiti, a travel security clearance is necessary for all UN travel to Haiti. Such clearance is not required for non-UN personnel travel (e.g. non-UN Health Cluster personnel).

Have you taken the Basic and Advanced UN security in the Field training programs?
 Don't have it
 Don't have it but can obtain it
 Already have it

*Upload UN Security Certificate  
(Please put your last name in the filename)
Choose a file to upload:

Upload CV

*Upload CV   
(Please put your last name in the filename)
Choose a file to upload:

(*Mandatory fields)

I certify that, to the best of my knowledge, the information entered above is complete and accurate.

Last Updated on Friday, 29 January 2010 10:38

Regional Office for the Americas of the World Health Organization
525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663

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