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Volunteer
Volunteer Application
Name
*
First
Last
Email
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Languages Spoken
*
Curent Occupation
*
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
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El Salvador
Equatorial Guinea
Eritrea
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Ethiopia
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Fiji
Finland
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French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guinea
Guinea-Bissau
Guyana
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Heard Island and McDonald Islands
Holy See
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Hungary
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Indonesia
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Iraq
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Italy
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Korea, Republic of
Kuwait
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New Zealand
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Nigeria
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Norway
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Panama
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Peru
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Slovenia
Solomon Islands
Somalia
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Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
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Ukraine
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United States
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Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Why would you like to volunteer for HHN?
*
Where did you complete your didactic and clinical homeopathy training? Please include dates.
Are you certified by the CHC?
*
Yes
No
Do you plan to be certified by the CHC?
*
Yes
No
Please list your relevant certifications or licenses.
*
Which post-grad work/programs are you involved in if any?
*
Can you commit to 3 months with HHN? This includes 10 cases under supervision and cases taken independently, averaging 4 cases per month.
*
Do you have experience with Google Drive or Slack?
*
How comfortable are you learning new digital tools?
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
To what extent are all of your prescriptions in practice-based upon the following principles:
Similars
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Single Remedy
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Minimum Dose (the minimum effect to gain a response)
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Infinitesimal Dose (use of potentised remedies)
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Infinitesimal Dose (use of potentised remedies)
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Individualisation
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
Totality of Symptoms
*
Rank on a scale of zero to five - zero for not important to 5 for very important:
0
1
2
3
4
5
When it comes to working on a team, which statement best describes you?
*
I work best independently.
Working in groups is socially taxing / stressful for me.
I prefer to lead a group.
I love working in a collaborative environment.
