Get Involved

Surgical Missions

Medical

  • Plastic Surgeon (with cleft experience)
  • Anesthesiologist (with pediatric experience)
  • Certified Registered Nurse Anesthetist (with pediatric experience)
  • Pediatrician (with current PALS)
  • OR Nurse
  • PACU nurse (with current PALS & ACLS)
  • Dentist
  • Dental Hygienist
  • Speech Pathologist (with cleft experience)

Non-Medical

  • Mission Director
  • Quartermaster
  • Sterilizer
  • Photographer
  • Medical Record Keeper
  • Family/Ward Coordinator
  • Translators

If you would like to volunteer in the office, please contact us for more information.

Get Involved

Volunteer Application Forms

Medical Volunteer Application

Please fill out our online application below. Or download the PDF version here.

Your Specialty (required)

The following documents should be submitted with your application. You will have a chance to upload them at the end of the application, or you can submit them separately via email, fax or standard mail.

  • Current License to Practice
  • Curriculum Vitae
  • PALS Certification (for Pediatricians and PACU Nurses)
  • Diploma
  • Board Certification (for Surgeons, Anesthesiologists, CRNAs and Pediatricians)
  • Cover Letter (Surgeons: include cleft experience; Anesthesiologists: include pediatric experience; PACU Nurses: include pediatric experience)
  • Photocopy of Passport
  • Attestation Form - can be downloaded here: Attestation Form
  • Please Note: If you are selected to volunteer on a mission, we will need a headshot of you. You may also submit that now.

Applicant Name


Applicant Address


Personal Information

Birth Date (required)

Gender

Passport Name
Complete Name as Shown on Passport

Passport Number

Passport Expiry

Nationality


Practice Information

Area of Specialty

Office or Hospital Name (if applicable)

Office or Hospital Phone


Travel Info and Trip Fees

Alliance for Smiles will cover international travel costs for medical volunteers. Each volunteer is required provide their own transportation to and from the US point of exit (usually San Francisco or Atlanta).

Approved mission volunteers are required to pay a $450 Mission Participation Contribution once they have been selected for a mission.

If you agree to above, please click Yes


General Information

Do you speak any languages besides English? (Indicate level of fluency)

Prior Medical Missions You Have Gone On (if any)

Are You A Member of Rotary? (Indicate club name/district and how long.)

Do you have any medical conditions we should be aware of?

Shirt Size (in unisex size)


Professional References

Please list two professional references - preferably physicians, dentist or allied health practitioners who are familiar with your work. If possible, include at least one member from the medical staff of each facility at which you have privileges.


Reference One

Full Name of Reference

Title

Phone

Email

Notes


Reference Two

Full Name of Reference

Title

Phone

Email

Notes


Documentation

The following documents must be submitted before you can be approved:

  • Current License to Practice
  • Curriculum Vitae
  • Diploma
  • Board Certification (only for Surgeons, Anesthesiologists, CRNAs and Pediatricians)
  • PALS Certification (only for Pediatricians and PACU Nurses)
  • Cover Letter (Surgeons: include cleft experience; Anesthesiologists: include pediatric experience; PACU Nurses: include pediatric experience)
  • Photocopy of Passport
  • Attestation Form - the form can be downloaded here: Attestation Form

If you don't have all the required documents currently with you, you can submit the application now and send the forms separately via email, fax or standard mail. You will find mailing address on the contact page.

To upload the documentation now, please upload below.
You can upload several files. Accepted formats: .doc, .docx, .pdf, .jpg, .zip, .png, .gif. Size limit 10 MB.

Drag & Drop Files Here
or


Once you have completed the application and uploaded all files that you wish to, please agree to the terms and hit the Submit button below.

If approved for a mission we request you provide us with 25-50 names and/or email or mailing addresses of family and friends, to be collected for our fundraising database.

I fully understand that any significant misstatement in or omissions from this application will constitute cause for denial of my application for affiliation with Alliance for Smiles. I hereby affirm that the information I have furnished to Alliance for Smiles on this application and in any accompanying document is true and complete to the best of my knowledge.

Do you agree to the above terms?

Non-Medical Volunteer Application

Please fill out our online application below. Or download the PDF version here.

The following documents must be submitted before you can be approved. You will have a chance to upload them at the end of the application, or you can submit them separately via email, fax or standard mail.

  • Cover Letter and Resume (Please include how you heard about AfS, how you would like to volunteer for us, and your skills/qualifications.)
  • Photocopy of Passport
  • Please Note: If you are selected to volunteer on a mission, we will need a headshot of you. You may also submit that now.

Applicant Name


Applicant Address


Personal Information

Birth Date (required)

Gender

Passport Name
Complete Name as Shown on Passport

Passport Number

Passport Expiry

Nationality


Travel Info and Trip Fees

Volunteers will be required to pay their own travel expenses as specified by our travel agent, unless mission is funded by a specific grant. And each volunteer is required to pay a tax-deductible $450 Mission Participation Contribution once once they have been selected for a mission.

If you agree to above, please click Yes


General Information

Do you speak any languages besides English? (Indicate level of fluency)

Prior Medical Missions You Have Gone On (if any)

Are You A Member of Rotary? (Indicate club name/district and how long.)

Do you have any medical conditions we should be aware of?

Shirt Size (in unisex size)


Professional References

Please list a professional or personal reference who we may contact if necessary.


Reference One

Full Name of Reference

Title

Phone

Email

Notes


Reference Two

Full Name of Reference

Title

Phone

Email

Notes


Documentation

The following documents must be submitted before you can be approved:

  • Cover Letter and Resume (Please include how you heard about AfS, how you would like to volunteer for us, and your skills/qualifications.)
  • Photocopy of Passport

Note: If you are selected to volunteer on a mission, we will need a headshot of you. You may also submit that, if you like.

If you don't have all the required documents currently with you, you can submit the application now and send the forms separately via email, fax or standard mail. Mailing address and contact info are on the contact page.

To upload the documentation now, please upload below.

Upload files by clicking the Choose Files button.. You may also upload all documents together in one Zip file. Accepted formats: .doc, .docx, .pdf, .zip. Size limit 10 MB.

Drag & Drop Files Here
or


Once you have completed the application and uploaded all files that you wish to, please agree to the terms and hit the Submit button below.

If approved for a mission we request you provide us with 25-50 names and/or email or mailing addresses of family and friends, to be collected for our fundraising database.

I fully understand that any significant misstatement in or omissions from this application will constitute cause for denial of my application for affiliation with Alliance for Smiles. I hereby affirm that the information I have furnished to Alliance for Smiles on this application and in any accompanying document is true and complete to the best of my knowledge.

Do you agree to the above terms?

International Medical Fellowship Application

The following documents must be submitted before you can be approved:

  • Cover Letter and Resume - Please include your international and/or medical experience (if any), and indicate if you are interested in a particular trip
  • A short video of yourself telling us why you would be a great asset to our team and how you heard about AfS.

Applicant Name


Applicant Address


Additional Information

Birth Date (required)

Gender as shown on travel document

Passport Number

Passport Expiry

Nationality

School Name (if applicable)

Current School Year (if applicable)

Do you speak any languages besides English? (Indicate level of fluency)

There will be times when you will be asked to wear an Alliance for Smiles t-shirt or polo shirt that will identify you as a team member.
Shirt Size (in unisex size)

Please describe your current health, including any medical conditions we should be aware of.


References


Personal Reference [non-family member; someone who has known you for at least 5 years]

Name

Title

Phone

Email

Notes


Professional Reference

Name

Title

Phone

Email

Notes


Parent or Guardian


Documentation

The following documents must be submitted before you can be approved:

  • Cover Letter and Resume - Please include your international and/or medical experience (if any), and indicate if you are interested in a particular trip
  • A short video of yourself telling us why you would be a great asset to our team, and how you heard about AfS

Upload Documents Here: www.dropbox.com/request/vXRTqLbm7NIfQfVL1xKR

If you don't have the documentation ready now, you may submit it later at the above link. You will also receive this link in an email, once you hit SUBMIT below.


Once you have completed the application and uploaded all files that you wish to, please agree to the terms and hit the SUBMIT button below.

I fully understand that any significant misstatement in or omissions from this application will constitute cause for denial of my application for affiliation with Alliance for Smiles. I hereby affirm that the information I have furnished to Alliance for Smiles on this application and in any accompanying document is true and complete to the best of my knowledge.

Do you agree to the above terms?

Get Involved

International Medical Fellowship

Intensive Twelve Day Medical Missions – $3,000

Maybe you’re almost done with school or you’re completely “over” your first job and you’re wondering what you should do next, or maybe you’re simply curious about what changing lives could look like.

You’ve had a bit of interesting experience in and out of the classroom, and have learned a ton, but you’re in search of something more. More hands-on experience, something—different.

Everyone seems to be urging you to choose a career path, and perhaps you’ve already chosen medicine, but you just don’t know where you want to go yet. All you know is that you need more experience.

You want to help make the world a better place. You want to see your impact on the lives of others, and where you are now, you just don’t see that happening.

You’re craving something real, a professional experience, a connection to something that matters, and maybe even a change of scenery.

Valuable, life-changing work is out there and it’s totally possible for you to be a part of it.

Imagine, working side-by-side with a team of people who are changing lives: top plastic surgeons, pediatricians, dentists, practitioners, and more.

  • You’re excited to have a part in making a change that matters. Additionally, you’re part of a mission that’s bigger than yourself and it fills you with joy every single morning.
  • You’re getting an intimate peek at a potential future career all while getting to go deeper into your interest and curiosity in healthcare.
  • You’re traveling to a country you had only dreamed about visiting in the past. On another note, you get to combine meaningful work with your love of soaking up local culture.

This is all possible, and more, and we can’t wait to show you how to get valuable, hands-on experience, and make an impact on others.

Finally! You get a special kind of healthcare experience. A rare, up close and personal peek inside the operating room combined with international travel and mentorship from the best and brightest in the medical field.

Alliance for Smiles (AfS) is a non-profit charitable organization that repairs children’s broken smiles by providing free comprehensive treatment for cleft lip and palate anomalies in under-served areas of the world.

The International Medical Fellowship is a 14-day, once-in-a-lifetime experience and opportunity to learn about cleft surgeries by supporting and observing highly trained doctors and nurses on an AfS mission. You’ll spend 12 days with the medical team and 2 days exploring.

The AfS team works side-by-side with local medical practitioners to exchange ideas on proper medical techniques and procedures, as well as to provide training and follow-up care. And you get to be there, right beside them.

As a fellow on a mission, a portion of your investment will be dedicated on your behalf to one child’s transformational cleft surgery.

Finally, you’ve found a cause you can get behind. You know without a doubt that this is your time to travel, learn, and make a difference.

The 14-Day International Medical Fellowship is for you if you are:

  • At least 18 years of age at the time of the trip  (If you’re under 18 when you apply, we’ll also need consent from your parent or guardian in writing)
  • A high school graduate
  • Curious about healthcare, a pre-medical student, an undergraduate student, or a medical student
  • Motivated to do life-changing work in a fellowship and ready to learn

No more empty work—It’s time to experience inspiration and joy with a team as you help change lives for the better.

With The 14-Day International Medical Fellowship, you will:

  • Work side-by-side with local medical practitioners to exchange ideas on proper medical techniques and procedures, as well as to provide training and follow-up care
  • Travel to an under-served part of the world with two full days to explore
  • Be surrounded by mentors and teachers who are the best in the plastic surgery and reconstruction fields
  • Receive noteworthy volunteer hours – 80 hours of verified volunteer time and a certificate of completion
  • See the team’s impact in the form of beautiful smiles on children’s faces

 

The 14-Day International Medical Fellowship includes:

Job Shadowing: You’ll shadow our expert team while learning what it takes to prepare for, conduct, and recover from cleft-lip surgery by rotating through each position. You’ll shadow professionals from plastic surgery to anesthesia, from record-keeping to holding beautiful babies.

Small Group Mentorship: With up to four fellows per mission, you’ll have access to all the doctors and nurses from breakfast through dinner. You’ll stay at the same hotel, dine together, and shadow—both in and out of the operating room, throughout the day for all 14 days. You get to learn in a structured environment with a syllabus to guide you and allow you to test your own knowledge against our “must know” syllabus questions.

Thinking Bigger: When we go on these missions, we go in with open minds. Since we don’t know everything in advance and we’re respectful of the locals’ knowledge, routines, and culture, we work with them shoulder-to-shoulder to establish routines and practices that work with the local equipment, education, and culture. This is also why we’re so passionate about our treatment centers. We have the opportunity to develop and educate the local hospitals and medical staff to an extent where they can be successful without us. You’ll develop international friendships and understanding to maintain and cultivate new levels of peace.

A Fulfilling Day of Connection and Learning: Every mission looks a little different. Here’s a sample schedule:

  • You’ll rise and shine at 6:30 am to be ready to enjoy breakfast with the team at the hotel by 7 am
  • You and the team will walk to the hospital where surgeries begin at 8 am
  • Break for lunch with the local hospital staff and the medical team
  • Get ready for the second half of the day which ends at about 5:30 pm—just in time to wash up for dinner at 6: 30 pm
  • Each day, you’ll also get to do morning and evening rounds with the medical staff

Travel Costs: Accommodations for 11 nights, ground transportation to and from the airport, 3 healthy meals a day, travel insurance, and administrative costs. Airfare is your responsibility.

Verified Volunteer Hours: You’ll get 80 hours of verified volunteer time and a certificate of completion.

A Safe and Secure Travel Experience: Working with our carefully vetted travel agency, they’ll help you book accommodations in the safest areas that typically have easy access to major roads, shopping areas, U.S. embassies, and the airport.

Freedom to Explore: You get 2 full days off during your 14-day fellowship mission to explore. You can choose from several customized short trips which are sold as all-inclusive packages and can be added to your fellowship charges. Ask for more information.

Investment: $3,000

We have tons of fundraising ideas to help you raise funds. For more information contact us at internship@allianceforsmiles.org or (415) 647-4481.

For available mission dates, please see our Upcoming Missions

Are you ready to give a deserving child a smile and an experience that will last a lifetime? Fantastic! Here’s how to apply:

Step 1: Complete your Application

Step 2: A team member will reach out to discuss the program with you – to answer any questions and make sure you feel comfortable. You’ll also submit the $500 deposit at this time.

Step 3: You’ll receive all the information you need by email and we’ll work with you to ensure you’re fully prepared. In addition, you’ll pay the full amount before your departure..

 Any Questions? Contact our office

Be part of our launch. Take advantage of our special pricing. Call us at (415) 647-4481 to discuss.

Get Involved

Our Volunteers

Volunteer Awards

Volunteer of the YearDistinguished Service AwardJohn Uth Memorial Award
2008 - Barbara Fisher2009 - Dr. Colin Wong2013 - Burton Berry
2009 - Dave Fowler2010 - Dr. Wally Chang2014 - Rotary Club of Wanchai
2010 - Wilber Breseman2011 - John Goings2015 - Rotary International
2011 - Dr. Quentin Li2012 - John Uth2016 - STOP Cleft International Alliance
2012 - Dr. Karin Vargervik2013 - Barbara Fisher2017 - Shanghai Ciguang Skin Health Foundation
2013 - Tina Hollcroft2014 - Tina Hollcroft2018 - Tai Wang & WAC Lighting
2014 - Dr. Chih-Chen Fang2017 - David Fowler
2015 - Mary Jensen
2016 - Dr. Billy De Shazo
2017 - Rosemary Welde
2018 - Dorothy Ferreira

Decade of Leadership Awards

In order to celebrate dedication to AfS on the occasion of our 10th Anniversary, the Decade of Leadership Award was created to honor four remarkable individuals who have given of their skills and talents from the beginning days of Alliance for Smiles.

  • Barbara Fisher
  • John Goings
  • Dr. Karin Vargervik
  • Dr. Colin Wong

Lifetime Achievement Award

Dr. Colin Wong

Legacy Club

In 2009 Alliance for Smiles launched its Legacy Campaign to encourage individuals to make a minimum $5000 one-time donation; or to make multiple donations through-out the year adding up to $5000. Participation in this campaign is recognized by membership in a special Legacy Club that will be publicized on the website, at the Gala and in literature. Everyone who donated a minimum $5000 by December 31, 2009 became a Charter Member of this very special Club.

Legacy Club Charter MembersLegacy Club 2010-2011
Burt BerryBurton Berry
Wilber BresemanWilber Breseman
Tai Can -WangTai Can-Wang
Dr. Wallace ChangCecile Chiquette
Cecile ChiquetteDavid De Roode
David De RoodeJim Deitz
James DeitzJohn Goings
John GoingsAllan Herzog
Allan HerzogSilvia Iselin
Bing Shin HoMary Jensen
Howard HoBenjamin Lam
Joe HoffmanDr. Quentin Li
Benjamin LamAnna Marie Marcias
Edward LauDr. Thomas Mack
Jojo and Noime LiangcoJames Patrick
Dr. Thomas MackAngelo Rebizzo
Gary MitchellDr. Collin Wong
James PatrickEdith Richter
Stacey QuoRobert and Kathryn Smith
Eng Rung TsaiJohn Uth
John UthDr. Karin Vargervik
Karin Vargervik
Dr. Colin Wong
Choi Chung Yuen

Individuals are inspired to volunteer and donate because of their belief in the work of an organization. Especially when considering humanitarian programs, the emotions felt because of participation in a program that changes lives can have a sincere and long lasting impact.

For many, what an individual accomplishes during his or her lifetime is totally satisfying and fulfilling. Involvement in family, friends and work create a sense of well being. However, for those who want to make a mark in another way and share more of their talents and wealth with humanitarian concerns, involvement in a cause can be extremely rewarding. When they pass, they will have left a humanitarian legacy.

Those people involved in the work of Alliance for Smiles, whether as volunteers or donors, are leaving a legacy that goes beyond the lives of the children receiving surgery. It extends to the patients’ families and to their villages. Alliance for Smiles heals tens of thousands of lives when considering the extended community affected.

To carry on the work of Alliance for Smiles, funding is crucial. Therefore, those individuals who are willing and able to make significant donations are core to program sustainability. These individuals have the opportunity to allow the work of Alliance for Smiles to progress, building on an impressive past.

Therefore in 2009 Alliance for Smiles launched its Legacy Campaign to encourage individuals to make a minimum $5000 one time or multiple time donation to the work of AfS. Participation in this campaign will be recognized by membership in a special Legacy Club that will be publicized on the website, at the Gala and in literature. Everyone who donated a minimum $5000 by December 31, 2009 became a Charter Member of this very special Club.

Our Founders

Alliance for Smiles was formally founded by five individuals: John Uth, John Goings, James Patrick, James Deitz and Anita Stangl. However, Alliance for Smiles wanted to recognize individuals who made a leap of faith in the concept of the work of Alliance for Smiles and decided to donate a minimum of $20,000 during the first four years of operation. They are also founders of Alliance for Smiles and will be recognized in perpetuity as such. The following individuals receive the honor of this unique position:

Mr. Burton BerryMrs. Debbie Jefkin-Elnakave
Mr. Bill BenterMr. Benjamin Lam
Mr. Wilber BresemanMrs. Noime Liangco
Dr. Wallace Chang, M.D.Dr. Thomas Mack, D.V.M.
Ms. Cecile ChiquetteMr. Donald Parachini
Dr. Scharleen Colant, Ph.D.Mr. James Patrick
Dr. James Deitz, Ph.D.Ms. Esther Rebizzo
Ms. Barbara FisherMs. Dee Dee Ricks
Mr. John GoingsDr. Alan Stormo, M.D.
Allan and Nancy HerzogMr. Eng-Rung Tsai
Mr. Howard HoMr. John Uth
The Family of TaipeiTai and Tony Wang (W.A.C. Lighting)
Mr. Joseph HoffmanDr. Colin and Mrs. Silvana Wong

Rotary Clubs who supported the work of Alliance for Smiles during its first four formative years with donations of $25,000 or more received the honor of being Founding Rotary Clubs. Alliance for Smiles recognizes three Rotary Clubs with this title and they will be recognized in perpetuity for their faith in the work and dreams of Alliance for Smiles.

The Rotary Club of San Francisco

The Rotary Club of Chicago

The Rotary Club of Wanchai, Hong Kong

Alliance for Smiles wishes to thank the above individuals and Rotary Clubs for their support which has helped Alliance for Smiles to not only facilitate medical missions during its first four years but to prosper and grow.

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