Most men in Sub-Saharan Africa still equate vasectomy to a castration. We are therefore inviting the application of volunteers with special counseling and promotion of vasectomy skills. We don’t provide accommodation nor do any other benefits. Our women need a reprieve so come and help us.

Fill in this form and submit it to us. The same form will be available upon arrival just in case you are unable to fill it online. Please email us or call for any queries

1.) Full Name (*)

2.) E-mail (*)

3.) Telephone

4.) Date of Birth (*)

5.) Emergency Contact

(a) Name
(b) Relationship
(c) Phone
(d) Address:

6.) Previous Work or Volunteer Experience (*)

7.) Highest Education

8.) language Spoken

9.) Physical Limitation

10.) Current Employer

11.) References

12.) Reasons for Volunteering (*)

13.) How Did you hear about us

14.) Days/Hours Available