DFW Hep B Free (5/13) Screening Sign-up
This screening is geared towards the Asian community. There is a need for Asian interpreters.

Limited # of positions for undergrad volunteers -- first come, first serve. We will email you a few days before the event to tell you whether or not you were chosen to volunteer. Additional spots available for translators.

We are doing two screenings on 5/13 and we will randomly assign you to a 2 or 4 hour shift at one of these locations.

Location: Cotton Bowl Plaza (3750 Midway Plaza, Dallas, TX 75210) or Tzu-Chi Foundation (534 W Belt Line Rd. Richardson, TX 75080)
Date: Saturday, May 13
Time: 11:00AM to 6:30PM
Dress: Scrubs (especially if doing phlebotomy) or business casual

You will receive a confirmation email a few days prior to the event.
Email Alex Yang (alex.yang@utsw.edu) or Sabiha Hussain (sabiha.hussain@utsw.edu) if you have questions.

Email address
Your answer
T-shirt Size
Email Address
Your answer
Year in School
Student ID (for UTSW students)
Your answer
Have you successfully completed phlebotomy training at Parkland?
Languages spoken other than English
Your answer
Phone Number
Your answer
Are you available to drive others to and from the screening event, if needed?
If you can drive others or need a ride, where do you live? (We would just like to know the general area so we can coordinate rides better. For example, it's easier if all of the people from Med Park ride together!)
Your answer
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms