Please complete all sections of this application.
Incomplete applications will be returned to the applicant, which may result in processing delays.
A financial grant will be awarded upon availability of funds.
Please describe this medical mission in narrative format, including:
The Fairview Foundation provides funding for employees, volunteers, retirees and affiliated physicians
and dentists of Fairview Health Services to participate in overseas medical mission projects.
Fairview has no legal obligation for the safety of the individual participant either from an accident,
armed conflict, natural disaster or other cause for any reason. The Fairview Foundation does not pass
judgment on the medical needs of the particular community designated for a mission trip,
nor does it provide information regarding current political and safety conditions of a country or
destination. Accordingly, acceptance of a financial grant for a medical mission project, if offered,
releases the Fairview Foundation and Fairview Health Services from any and all liability with respect
to this medical mission project.
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