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New Volunteer Information

This form sends information only to The-DHN Recruiter

If you have any concerns about the use to which we put your personal information, please look at our Privacy Policy.

Filling in and sending this form demonstrates your acceptance of the rules of The-DHN and your willingness to abide by them.

Completed forms are processed on a weekly basis so we ask for your patience. Our Recruiter will place you with a Group Leader who will contact you with your first case and an introduction to the other volunteer healers in your Group. You will be made to feel most welcome. We endeavour to keep the DHN as friendly and personal as possible.

The * indicates required fields of information that must be filled in.

Roster Information Form

Who You Are:

Your "Public" Name: *

This may be a pseudonym and will appear on The-DHN web site.

Your "Real" Name:

Tell us this if it differs from your "Public" Name. First and Last names are helpful so that we do not confuse volunteers with the same or similar names.

Your Healing Modality:

  Prayer.   
  Reiki 1.    Reiki 2.    Reiki 3.    Reiki Master.
  Spiritual.
  Other.

Anything else that you'd like us to know about your Healing Techniques:

Where You Live:

Town or City:
State or Region:
Country:

How We Contact You:

Principal Email Address: *
Back-up Email Address:

Your email addresses will never appear on The-DHN web site.

Do You Have a Personal Web Site?:

Your Web Site Address:

We are happy to provide a link to your site from the Roster Pages of The-DHN if you so wish. This courtesy does not, necessarily extend to third party sites.

Do you speak a language other than English?

We do, occasionally, receive requests in other languages which is why we ask for this information.

When sending this form, please click the "Send" button ONCE ONLY - thanks!

Return to: The-DHN Home Page

The Distant Healing Network

New Volunteer Information

This form sends information only to The-DHN Recruiter

Roster Information Form

Who You Are:

Your Healing Modality:

Where You Live:

How We Contact You:

Do You Have a Personal Web Site?:

Do you speak a language other than English?

Comments about this Page, Notice of Errors, Ommisions and Alterations should be directed to The DHN Web Site Manager

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Layout, Design & Revisions © 2007 The Distant Healing Network.

Most recent Revision: February 9th. 2007