Thank you for your interest in volunteering with RAM!

From here you can sign up as a volunteer, register for events, and change your assignments.

If you previously registered on this webpage, we will recall your information.
Do not RECALL your information and type over it for another family member. That overlays the existing record.
 

Abbreviated Title

Example: Mr., Ms., Dr., Hon., Mx.

First Name 

 

Last Name

 

Professional Abbreviations

Example: DDS, MD, PhD

Date of Birth

required

Name on Badge

List the information you want to appear on your badge.
Example: Dr. Jeff, Ms.King, Sam

Contact Phone with Area Code 

 

Confirm Phone

 

Phone Type

If possible, we would like to text you with occasional reminders and pertinent updates.

Mailing Address Line 1

Include apartment, suite or box number, if applicable.

Mailing Address Line 2

 
 

State 

 

Zip Code 

 

Email Address

We recommend an email address unique to the registered volunteer instead of a shared office address or the personal address of a group leader for all group members. We will send personalized scheduling correspondence to this address.

Confirm Email Address

 

User Name

Establish your unique User Name. You may use your email address as your User Name unless another registered volunteer will be receiving correspondence at that same address. 
 

Password

Used to recall your information when you visit this site again so you can make changes and/or select additional volunteer opportunities.  Your password must be at least 8 characters and contain at least one letter and one number. It may not contain the characters  < ' & * # .

Confirm Password

 
 

Required Age

I will be at least 14 years of age when I volunteer. Volunteers under 18 must email volunteers@ramusa.org for the RAM Minor Release Form.
For legal reasons these are the age restrictions for volunteering.
 

T-Shirt Size

T-Shirt style is adult unisex.  Note that t-shirts may not be provided at all events.

Language Fluency (other than English)


Select all that apply
Hold down the control key to select more than one language.
Hold down the control key and click on a selected language to de-select it.
 

Interested in volunteering to provide telehealth services?

 
 
If you are willing to volunteer to provide telehealth services through RAM please check this box. 

Pilot's License, Certifications, and Experience

 
 

Please list any flight certifications, as well as hours/experience in each type of aircraft you are able to fly. Optional, indicate any aircraft you own. Additionally, please include any aircraft you own and would be willing to fly for RAM. 

Blood Borne Pathogen Certified

 
 
Have you taken an infection control/ blood-borne pathogen certification training? 

Vaccinated for Hepatitis B

 
 
 

Are you an employee of the federal government?

 
 
Check yes if you are employed directly by the US federal government. 

Interested in traveling within the United States for clinics?

 
 
If you are willing to travel to clinics further away from you but still within the United States please check this box. 
 

Company / Organization

Optional, but helpful to know especially if you're coming with an office or team.

My company has a matching program

Please indicate if your employer matches your donated time with a financial donation to the non-profit where you volunteer.
 

First and Last Name

 

Relationship

 

Phone

 
 

Event Volunteer Area

Select the area appropriate to your profession / classification.

Profession / Classification

 
 
 

Limit event list by state?

Event Category

This CATEGORY selection limits the events shown in the drop down EVENT list.

Event

Signing up for more than one clinic?

Great! Finish your registration and pick your assignments for your first clinic, then click

SAVE AND SUBMIT at the bottom.

THEN, click the RECALL button at the top to pull up your record, scroll down, and pick your assignments for the second event (and repeat). 

 
 
Select your profile picture

You may optionally upload a profile image. Just skip this option if you do not care to share an image. We accept GIF, JPG, and PNG images.
Your current picture:
 
If you have been directed to upload a document of some kind please do so below. This is otherwise not necessary.
Document 1 Name:

Select file 1:
Document 2 Name:

Select file 2:
Document 3 Name:

Select file 3:

No files have been uploaded
 
I hereby release and indemnify Remote Area Medical®, a non-profit organization, and all its respective officers, directors, agents, contractors, employees, heirs, successors and assigns from any claim for bodily injury or death or for property loss or damage incurred in connection with Remote Area Medical®, its missions or related activities. I also release and indemnify RAM for any claims against RAM by others as a result of my actions or inactions while volunteering for RAM, whether those actions are intentional or in negligence, and whether civil or criminal in nature. I fully understand that I am volunteering at my own risk regardless of the environment or services I am voluntarily performing for RAM. Additionally, but without limitation, I specifically release and indemnify RAM in relation to:

1. Any volunteer service I engage in which exposes me to blood or other potentially infectious materials putting me at risk of acquiring Hepatitis B virus (HBV) infection or other blood borne pathogens. I understand that if I do not have the HBV vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If, in the future, I want to be vaccinated with Hepatitis B vaccine, I can acquire the vaccination at my own expense; and,

2. The working environment at the RAM location where I volunteer which may take place near or involve working with or on heavy equipment and/or machinery, livestock, toxic materials, dangerous, and other potentially high risk activities.

3. I further hereby grant to RAM and its employees, directors, officers, agents, providers, and sponsors the right to use my picture, voice, or other reproductions of my physical likeness in connection with any advertising, publicizing or activities by RAM or any of its sponsors or Providers, in all media form, in perpetuity.

COVID-19 Pandemic Notice and Acknowledgement of Risk

The World Health Organization has characterized the COVID-19 virus, also known as "Coronavirus," as a pandemic. RAM wants to ensure you are aware of the risks of exposure to COVID-19 associated with receiving treatment during this pandemic.

COVID-19 is highly contagious and has a long incubation period. Individuals may have the virus, not show symptoms and yet still be highly contagious. COVID-19 can result in a life-threatening respiratory disease in some patients. You may be exposed to COVID-19 at any time or in any place. Due to the volume of individuals on site, the characteristics of the virus, and the characteristics of certain healthcare procedures, there is an elevated risk of you contracting the virus simply by being at a RAM clinic.

Some procedures can create fine water spray or "aerosols" which may remain in the air for several minutes to hours. These aerosols may contain the COVID-19 virus and may create a risk of COVID-19 exposure.

To provide a safe environment for our patients and staff, RAM follows the applicable state and federal regulations and protocols for infection control, universal personal protection, and disinfection. However, due to the nature of the procedures we provide, it may not be possible to maintain social distancing between patients, doctors, and staff at all times. Additionally, some of the safety measures being taken by RAM to prevent the spread of COVID-19 have been known to trigger allergic reactions or may be sensitive to your eyes or skin. Should you experience such during your presence in the RAM clinic, please notify a health care provider or other RAM professional volunteer.

My signature below acknowledges my understanding of and agreement with the above release and indemnification and constitutes my waiver of all possible claims against RAM as well as those of any other persons or entities which could or may act or make claims on my behalf including, but not limited to, my attorneys, heirs, successors, agents, employees and other third parties, for any actions or claims that are or that may arise as a result of my service as a volunteer for RAM.

Please use your mouse to sign on a PC or use your mobile device touch screen
    
 
Thank you for registering as a volunteer. Upon clicking the SAVE AND SUBMIT button, you will be emailed a confirmation of your registration/updates.