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Miami Med COVID Help for Healthcare Workers: Student Volunteer sign up form
Hello Med 'Canes! We are recruiting students willing to assist our providers who are serving on the front lines of the COVID-19 pandemic.

By filling out the form below, you'll be added to a list of student volunteers ready to assist with tasks. We will send out an email with further instructions about how to pick up Miami-based tasks (e.g. grocery delivery or pet care) using our online platform Monday.com & how to schedule yourself for on-demand tasks, as well as how to help with remote tasks like data entry, writing notes of appreciation, and calling local businesses to inquire about PPE donations.

*Please note: current guidelines from the Liaison Committee on Medical Education (LCME) prevent students from doing favors for physicians who might evaluate them during clinical rotations. If you rotate on a clinician's service whom you helped in this project, you'll need to indicate that they can't be the one to evaluate you.

If you have any questions, please reach out to lead project organizer Alison Ohringer MS1 at 805-551-0489 or AOhringer@med.miami.edu.

Thank you for volunteering your time. It is deeply appreciated.
First and last name *
What year are you? *
Email address *
Phone number (XXX-XXX-XXXX) *
Are you willing to help with tasks that can be done remotely? (e.g. calling about PPE donations, data entry, writing cards) *
Are you currently in the greater Miami area and willing to help our health care workers with in-person errands? (e.g. grocery delivery, prescription, delivery services, pet care, dog walking) *
Are you currently in the greater Miami area and willing to pick up and/or drop off PPE? *
Do you have a car? *
Are you willing to help with after-hours tasks? (9pm-7am) *
Required
Please read this waiver in its entirety and e-sign below. *
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Next steps: we will add your email address to our organizing platform on Monday.com. Once you're added, we'll email you instructions to make an account (~45 seconds) and you'll be able to see what tasks are available for fulfillment. Thank you so much!
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