EOI Medical Mission

Applicant Information- EXPRESSION OF INTEREST

Please use this form to show an expression of interest in volunteer medical work for Ukraine from your home base OR medical missions to Ukraine with our charity OPT in partnership with Christian Medical Association of Ukraine (www.cmaukraine.com) This is an EOI only and does not commit you to anything.

Name

First

Last

Email Address

Phone

Date of Birth

Gender

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Organisation (if applicable)

Position/Title/job

Expression of Interest

What are you interested in? e.g. medical education, online teaching, mobile clinics, surgery, teaching - name all that apply

Brief statement expressing the interest and capability.

I would prefer (select all that apply)

Utilising my skills remotely from home
Going anywhere in Ukraine where my skills are needed
Going to Ukraine in less dangerous areas where my skills are needed

Relevant Qualifications

Outline of qualifications and skills you think will be helpful

Relevant Experience

Outline of past experiences or projects that make you a suitable candidate.

Why do you want to volunteer for Ukraine?

Why do you want to come to Ukraine? (if different to above)

Please describe your state of physical health and fitness?

Do you speak Ukrainian?

No
Yes-basic
Yes- professional level

Additional Information you'd like to share

Space to provide any additional relevant information.

surgery, Information-

Do you have team members that you would like to bring with you? (please list them)

Space to provide any additional relevant information.

Do you have any specific questions you would like to ask?

We will also send you some general information when we receive this form.

Supporting Documents

These can be provided later if you prefer.

Resume

Drag & Drop Files, Choose Files to Upload

Recommendation Letters

Drag & Drop Files, Choose Files to Upload

Please provide at least one recommendation letter that alludes to your suitability for a trip like this, your willingness to work in a team, share skills and /or teach.

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You will have the option to unsubscribe at any time you wish and can select which updates you receive.

I would like to make a tax deductible donation

Save and Resume Later

Excellent rating
Based on 25 reviews

I am so appreciative of being able to care for Ukraine and its people in this way. I can't go there. Thank you to those who do go. Thank you for supporting the Ukrainians living daily with the struggle and standing firm to care for their people.

Kristen Ellis

9 January 2026

Good, kind, trustworthy, clever, professional, generous and compassionate humans. Truth telling and acting to help other humans, through training, support and advocacy.

Bernadette Boscacci

6 January 2026

I really appreciate the first hand updates about the war on Ukraine. Dr Lara Wieland writes from having been with medical personnel on the front lines several times and uses those times to advocate for support for Ukraine and to provide avenues for financial support.

Vivienne Cole

2 January 2026

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