How to Apply?


To apply to become a credentialed volunteer, please download the appropriate applications using the links below. You will need Adobe Acrobat Reader to view these PDF files. If you do not have Adobe Acrobat Reader, click here for the free download.

Submit by mail:

Once printed and completed, send your full application packet to:

ReSurge International

ATTN: Dora Rusin-Gomez

Assistant Director, Volunteer Services and Medical Supplies

756 N Pastoria Ave.
Sunnyvale, CA 94085

Submit electronically:

Use Adobe Reader to complete the application form. To digitally sign, click the “Signature” box and follow the on-screen instructions. Be sure to save the completed form.

Email a PDF file of your completed, signed form and other requested application materials to Dora Rusin-Gomez at



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