Volunteer Overseas Hazard Awareness Form

Full Name Date Country of Assignment Duration of Stay List potential health or medical hazards you may encounter (e.g. diseases, limited healthcare access) Describe the precautions or preparations you will take regarding health (e.g. vaccinations, medicines, insurance) List possible environmental hazards (e.g. climate, natural disasters, pollution, wildlife) Describe your strategies to mitigate environmental risks Identify any security or political hazards (e.g. theft, crime, political unrest, terrorism) How will you address or prepare for these hazards? Describe any possible cultural or social hazards (e.g. language barrier, customs, legal differences) How will you prepare for and address these issues? Local Emergency Contact Home Emergency Contact Insurance Details I acknowledge that I have been informed about the potential hazards and agree to take appropriate precautions.