VOLUNTEER INTEREST FORM
Thank you for your interest in volunteering at Christ Clinic.
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Contact Information
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First Name
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Last Name
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Home Phone
Cell Phone
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Email
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Volunteer Information
How did you hear about us?
Area(s) of interest? (e.g. medical, clerical, fundraising, etc.)
Clinic hours: M-TH 9am-5pm; F 9am-3pm. What days and times are you available?
Skills and Experience
Are you bilingual (English/Spanish)?
If you have medical experience, please share.
Privacy Policy
We keep your personal information private and secure. When you submit this form, your name, contact information, and any additional information will be available only to our organization.
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