Client-Centric research and volunteer Support Program formPersonal InformationFull NameCompany legal nameWhat is your role within the organization?Email IDContact NumberPreferred Contact Method Email Phone numberProgram DetailsProgram Type: Research for academic purposes Cultural immersion Volunteering OtherDesired Program Start DateProgram Duration: [Number of Days/Weeks]Number of Participants:Preferred Research Theme / Topic:Specific Interests or Objectives:Experience and MotivationPreferred Location in the Dominican Republic:Special Requests or Requirements:Please provide any additional details or questions you may have: (Max. 100 words)Other InformationsWillingness to undergo a background check: Yes No I hereby certify that the information provided is accurate, and I agree to comply with the program's terms and conditions. By submitting this form, you consent to the collection and processing of your personal information for the purpose of program communication and coordination.Submit
