Ottawa Healthcare Professionals for Palestine (OHCP4P)  information sheet
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Name *
Email address  *
Phone number (to add you to our signal group ) *
City of residence *
Have you participated in other health care advocacy initiatives?  *
What is your role in our health care system?  Ie. RN, MD, PSW, Allied health, environmental services etc. *
How did you hear about Ottawa HCP4 Palestine?  *
Were you referred to us by anyone who is currently a member? If so, Please provide their name.
Volunteer commitment: Are you willing to do the following (check as many as you want):
*
Required
Are you a member of any unions?
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Do you have any ideas for future actions we should persue? 
Special skills that could be useful for the group?
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