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Volunteer Registration Form

Thank you for your interest in volunteering to participate in health screening! We're excited to have you on board and appreciate your willingness to give back to your community.


Please fill out the form below to let us know a little more about yourself and how you can help. We welcome volunteers of all backgrounds and skill levels. CNAs, LPNs, MDs are welcome! We'll provide all the training and equipment you need to make a difference.


We need volunteers to help with tasks such as:


  • Checking blood pressure and glucose levels


  • Training nurses/volunteers


  • Registering participants and taking down their information


  • Directing participants to the screening area and answering their questions


  • Setting up and taking down equipment and supplies


If you have any questions or concerns, please don't hesitate to contact us. We look forward to working with you to promote health and wellness in our community!

What location are you interested in volunteering?
Do you have a healthcare background?
Yes
No
What is your preferred volunteer role?
Registration
Glucose check
Blood pressure check
Workflow management
Training volunteers
Doesn't matter to me!
Other
Are you looking to partner or collaborate with your business?
Yes
No
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