JMUSA Volunteer Application

First Name

Last Name

Preferred Name

Mobile Phone

Email

Date of Birth

Month

Day

Year

Home Address

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Medical, Dental, Pharmaceutical Professionals

Please list your Area of Practice, Title, Degree:

Status of Professional License at time of Mission trip?

Current

Expired

Passport Information

A passport is required to travel to Jamaica. Your passport must be valid for a minimum of 6 months following the completion of the mission trip. If you need to apply for a new passport or a renewal, keep in mind you will need to submit your passport information 3 months prior to the beginning of the mission trip.

DO YOU HAVE A CURRENT PASSPORT WITH AN EXPIRATION DATE THAT IS AT LEAST 6 MONTHS BEYOND THE END OF THE MISSION TRIP YOU ARE APPLYING FOR?

Yes

No

If Yes:

Passport Number

Passport expiration date

Emergency Contact

In the event of an emergency, who should we contact? Please provide the name of someone not travelling with you.

First & Last Name - EC

Mobile Phone - EC

Email - EC

Address - EC

Relationship

Mission Opportunities

Other talents/interests (please list):

Permission to Use Photos and Videos

Do you agree to give Jamaica Missions USA permission to use your image and or voice and grant Jamaica Missions USA all rights to use photos or recordings for educational, promotional or other purposes that support the mission of JMUSA?

I agree

I disagree

Project Preference

Feb 6-14, 2026 Medical/Dental Mission trip; St Elizabeth Parish,Jamaica

Mission Fee: $1200 USD

$100 Deposit: Due Sept 1

$1100 Balance: Due Nov. 30

The mission fee is tax deductible and includes all meals, accommodations and in-country transportation. Airfare is not included. Deposits are transferrable, but not refundable unless the mission is cancelled. Please see our refund policy at www.jmusa.org

Applicant Signature

Signature (if applicant is a minor (less than 18 years of age), signature of parent or guardian is required.

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Short answer

Thank you for applying. Upon acceptance of your application a registration packet will be emailed to you. A $100 deposit (non-refundable) is required upon acceptance of your application. The deposit will be applied to your total tax-deductible Mission Participation Fee ($1200) due Nov 15. When notified, you may submit your Deposit and or Mission Participation Fee on the DONATE page, or mail a check to: JMUSA, 2020 Howell Mill Road NW, Suite D243, Atlanta, GA 30318.