To join us, just follow 3 easy steps!
1. Learn more about us:
Download and read the brief Ayacucho Mission 2012 Information Packet in PDF format.  

This contains information about the mission, the application process, travel arrangements and the Code of Conduct for the mission.  All participants in the mission must read and pledge to abide by the Code of Conduct to ensure our patients are treated with professionalism and dignity, and that we represent ourselves well in the community we are serving.
If you cannot open the Information Packet, you may need to download the free Adobe Acrobat Reader.  

If you have not already done so, please join the Ayacucho Mission email list to ensure you receive all the most current information about the mission and our activities.

2. Submit an Application Form:
Click here to fill out an application online.   This is the surest way to know that we've received your application, and is completely secure.   The Online Application Form will open in a new window.
Fields on the form marked by a red star are required.  If the form does not submit properly, go back to make sure all the starred blanks are filled in.
Once you have completed the entire form, you must click the "SUBMIT" button at the bottom of the form.  You will receive a short message on the screen confirming that your application form was received.
If you are having trouble using the online application form, please download the paper version of the Application Form here in Word Format (.doc) or in PDF format (.pdf).  Paper applications can be submitted by fax to (323) 725-5043 or by mail to 5457 S. Palm Ave., Whittier, CA 90601.  If you submit the application online, no paper application is necessary.
 
3. Send in your application fee:
All application fees go directly to supporting the missionary work in Peru, and are a very important part in making our mission possible.  Your application fees are tax deductible, and are as follows:

For Physicians: $100.00
For Nurses and other adult volunteers: $50.00
For full-time Students: $25.00

You can send your application fees either electronically (credit card using PayPal), or by mail.

To submit your application fee using a major credit card, click on the "Donate" button below and follow the instructions.  PayPal is a fast, safe and secure way to help support the mission.Apply_to_Volunteer_files/2012info.pdfhttp://get.adobe.com/reader/Join_the_Email_List.htmlhttp://tinyurl.com/2012peruappApply_to_Volunteer_files/2012paperapp.docApply_to_Volunteer_files/2012paperapp.docApply_to_Volunteer_files/2012paperapp.pdfApply_to_Volunteer_files/2012info_1.pdfshapeimage_2_link_0shapeimage_2_link_1shapeimage_2_link_2shapeimage_2_link_3shapeimage_2_link_4shapeimage_2_link_5shapeimage_2_link_6
    1. If you already have a PayPal account set up, just login and follow the instructions.

    2. If you do not have a PayPal account, you can either create one or click on the "Continue" link next to where it says"Don't have a PayPal account?
      Use your credit card or bank account (where available). "

    3. Type in the amount of the donation--you can submit fees for multiple applications in a single payment.  Just click on "Add special instructions" to list the names of the applicants you are paying for.  


    4. To send a check, please make it out to "PAMS MISSION AYACUCHO", and mail it to:

      Ayacucho Mission
      5457 S. Palm Ave.
      Whittier, CA 90601




Application forms and all application fees

must be submitted by the deadline

of March 31, 2012 for General Volunteers & Med Students

or May 30, 2012 for Physicians, Pharmacists & Nurses

to be considered for a position

with this year's mission.


The number of General Volunteers and Med Students that will be selected is based on the number of Physicians and Nurses who sign up for the mission.  Applications for General Volunteers and Med Students will be reviewed and the first round of selections will be announced by April 16th, 2012.  Applicants who are not selected in the first round will be notified that they will be considered as alternates who may be selected to join the mission if (1) the number of physicians or nurses who commit to the mission increases or (2) other selected volunteers indicate that they will not join the mission after all.  Selected applicants will be provided additional information on the specifics of making travel and lodging arrangements.


Several organizational meetings, along with other social and fundraising activities, will be held in the months prior to the mission.  Please be sure you are a member of the email list and check the website regularly to ensure you have the most current information.


The people of Ayacucho are grateful for your interest in making a difference in their community.  We are always looking for new ways to help, and welcome your ideas and energy year-round.



Questions about using the online forms or PayPal?  Please contact John Billimek at (949) 295-7126 or jbillimek@gmail.com.