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1 Sign-Up Information
2 Professional Background
3 International Experience and Interest
4 Other information (optional)
5 Support
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Sign-Up Information

RAD-AID is pleased to offer international service and global health opportunities for Pediatric Radiologists and Technologists. Many diseases in the developing world have high mortality rates among children and RAD-AID aims to deliver vital radiology services to protect, save and help those children around the world. Your skills as a pediatric radiologist or pediatric radiologic technologist are essential for that mission. Please begin by indicating below your contact information so that RAD-AID can contact you about pediatric global health projects.

First Name*
Last Name*
Institution
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City
State
Zip
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Email*
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Professional Background

In order for RAD-AID to best match you with potential international opportunities in our global health projects and radiology outreach, please tell us a little about your professional background.

Please click 1 or more of the following that describe your professional background:*
If you are a Pediatric Radiologist, please click all the following that describe you (if you are not a pediatric radiologist, please skip this question)
If you are a Pediatric Radiology Technologist or Sonographer, please click any of the following that describe you (if you are not a pediatric technologist or sonographer, please skip this question)
How many years have you been a pediatric radiology professional (MD or Tech) (i.e. number of years since completion of your school training); if you are a resident or fellow, please indicate below what PGY# you are.

International Experience and Interest

In this section, we would like to learn about your prior experience in global health and your why you are interested in RAD-AID projects in low-resource regions of the world.

Have you worked as a health professional in low-resource regions of the world before? If so, please write a short sentence or two indicating where you worked and what you did. If you have no prior experience in low-resource regions of the world, please skip this question
Please indicate below what language(s) you speak.*
If you were to work on-site in a low-resource region, what duration of service would interest you?*
Please select one
Please tell us about your funding needs for an international project by clicking the item(s) below that apply to you. Please assume for this question that projects generally cost the following amounts: $2500 in North America, $3500 in Latin/Central/South America, $5500 in Africa/Middle East, and $5000 in Asia). Please note that your ability to self-fund does not affect your eligibility for RAD-AID projects.*

Other information (optional)

The questions below are optional and may be skipped if you wish. If you would like to give RAD-AID additional information below, we are happy to learn more about you!

If you have a CV or Resume that you would like to upload, please upload it below:
Allowed file extensions: doc, docx, xls, xlsx, ppt, pptx, jpeg, jpg, pdf, mp3, wav, avi, avi, wav, mp3, xls, xlsx, avi, wav, mp3, ppt, pptx, xls, xlsx, xls, xlsx, ppt, pptx, mp3, wav, avi, avi, wav, mp3, jpeg, jpg, ppt, pptx, xls, xlsx, jpeg, jpg, avi, wav, mp3, ppt, pptx, xls, xlsx, avi, wav, mp3, ppt, pptx, xls, xlsx
If you would like to tell us more about your background or level of interest in global health and international radiology, please do so below in the space provided:
How did you hear about RAD-AID?
Why have you chosen RAD-AID as an organization that you would like to work with?

Support

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100% of online donations go to our programs.  Would you consider giving a small donation to these efforts? (a donation here does not impact your eligibility to participate in a RAD-AID project)

$10 can support basic medical supplies such as infection control supplies, lead aprons, procedure devices, and ultrasound gel

$20 can offer technical support for essential health IT and digital infrastructure, improving pediatric diagnosis, treatment, follow up, and patient care processes

$50 can help in training a team of health care workers in pediatric specific imaging protocols

$100 can provide long term education support for radiology healthcare providers caring for children, including technologists, residents, sonographers, nurses, and more

$250 can help support pediatric radiology equipment procurement, delivery, and hands on education

 

This photo shows a RAD-AID volunteer teaching ultrasound at a children's hospital in Laos.

Payment*
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You are now at the end of this online registration form.  Please click SUBMIT to finalize your online submission or you can go back and edit your responses by clicking on the section titles on the left side of this page. If the SUBMIT button does not appear below, you have not completed the required sections (incomplete required sections are marked with red x on left side menu).  Thank you for taking the time to fill out the RAD-AID Registration for Pediatric Radiology!

Thank you for completing your registration to RAD-AID Pediatric Radiology!

If you have questions about your registration or other inquiries, please email us at info@rad-aid.org. 

You can now either EXIT to the internet or RETURN TO MAIN MENU if you wish to respond to other RAD-AID surveys.