2017 Medical Clinic
We’re gearing up for the Living Word Medical Clinic! Volunteers over 16 years old are needed for everything from set-up, parking cars and serving food to using their medical experience and education to serve the community. Volunteers are also needed for set-up on Fri, April 7 @ 6:00 pm, as well as the day of the event, April 8, from 7 am to 5 pm. Free childcare (ages 1 month - 12 years) will be available for volunteers. Register online by March 26.

When: Mandatory Volunteer Training: Sun, Apr 2 @4pm

Set-up: Fri, Apr7 @6pm

Event: Sat, Apr8 @ 7am-5pm

Where: LWFC

Cost: Volunteer t-shirts for first-time volunteers cost $9 (S-XL) or $10 (XXL-XXXL) Free childcare for volunteers ( 1 month old - 12 years old)

First Name
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Last Name
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Address
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City
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State
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Zip
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Home Phone
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Cell Phone
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Current Email
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Occupation
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Age
(minimum age is 16 years old)
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Do you need childcare the day of the clinic? Please list names and ages of children below.
(Childcare provided for ages 12 and under)
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Please list any other languages you speak fluently, if any:
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Please choose the position you would like to serve in:
We will assign your requested position if possible, but you must be willing to be reassigned if there is a need elsewhere.
Please list two other areas you could serve if it becomes necessary:
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T-Shirt Size? (If you already have a Kiwi green t-shirt from a past clinic, please do not reorder a t-shirt, unless you are in need of one.)
(All volunteers should wear a clinic t-shirt to work- $9.00 due on March 24th. Select appropriate size below.
When Can You Help?
Check all the shifts that you are able to volunteer: NOTE: (IF YOU WILL BE A PATIENT ON SATURDAY, WE ASK THAT YOU ONLY SERVE FRIDAY NIGHT) ***PLEASE BE FLEXIBLE. YOU MAY BE ASKED TO COME IN EARLIER OR STAY LATER. THANK YOU.
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You can count on me!
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I will attend the Mandatory Volunteer Training/Info session on Sunday, April 2nd @ 4pm
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Electronic Signature, type your name
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