Online Volunteer Application Form

HELPS Online Volunteer Application Form

Mission Trips Calendar 2016

If you have trouble submitting this form online, please fill out the Electronic Version, save it to your computer and email to wpedrero@dillongage.com

  • If you are new to HELPS or do not know your preferred team's name / number, please click on the calendar link above for a complete list of upcoming teams.
  • Please enter the NAME, PHONE NUMBER and RELATIONSHIP of someone NOT TRAVELING WITH YOU that we may contact in case of an emergency. A valid phone number is required.
  • Please enter your name as it is LISTED ON YOUR PASSPORT. The name on your airfare ticket must match the name listed on your passport or you will not be allowed to travel.
  • If you must submit a copy of your passport at a later time, please email it to: wpedrero@dillongage.com.
  • (MM/DD/YYYY)
  • If you are married, please enter the name of your spouse here. If not, please enter "N/A".
  • Enter the name of your employer. If not applicable please enter "N/A".
  • Please enter your blood type. If you do not know it, please enter "UNK".
  • Please enter your special diet, if any. If not please enter "None".
  • Please be specific. List all current conditions, ailments and medications that you are currently taking.
  • If not applicable, please enter "N/A".
  • Please be as brief and/or specific as possible.
  • If not applicable, please enter "N/A".
  • If not applicable, please enter "N/A".
  • If not applicable, please enter "N/A"
  • IMPORTANT: Maximum file size is 2MB. If you are unable to submit documents at this time, your file exceeds size limitations, or you have more than one document to submit, PLEASE DO NOT RESUBMIT YOUR APPLICATION. INSTEAD, PLEASE EMAIL THE DOCUMENTS SEPARATELY TO: wpedrero@dillongage.com. Please include your team's number in the subject line of the email.
  • By clicking submit, you are accepting our Terms and Conditions