DFW Hep B Free - Volunteer Sign-Up Form 4/27

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Date: Sunday, April 27, 2013
Time: 9:00AM – 1:00PM (Sign up in shifts)
Location: Vietnamese American Mutual Assistance & Services (VAMAS), 2300 W Walnut St, Garland TX 75042
Who: We will be predominantly serving the Vietnamese community.
Dress: Please wear business casual or scrubs
You will receive a confirmation email a few days prior to the event
Please contact Phinga Do (phinga.do@utsw.edu) if you have any questions

Name *

Email *

Phone Number

What time can you help out between 10 AM and 1 PM?

Feel free to sign up for any number of hours you'd like

Languages spoken other than English?

Would you be available to drive others to and from the screening event if needed?

Yes

Clear selection

What can you help with?

Registration

Vietnamese Translation

Phlebotomy (only if you have been trained)

Blood Pressure

Can you bring a sphygmanometer?

Yes

Clear selection

Submit

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