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SonBridge Dental Clinic Dental Professional Volunteer Registration
Free Dental Clinic-- May 17, 19, 2024
SonBridge Center for Better Living
1200 SE 12 St. College Place, WA, 99324
(509)-593-5342
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Thank you for your interest in volunteering with us!
Please fill in the questions below for general volunteers.
Full name (first and last)
*
Your answer
E-mail
*
Your answer
Phone Number
*
Your answer
Dental professional licensing
*
Dentist (DDS, DMD)
Dental hygienist
Dental assistant
Other:
Are you licensed in the state of Washington?
*
Yes
No (if not, Washington Healthcare Access Alliance coverage is available for you)
(For dentists), will you be bringing an assistant?
Yes
No
Clear selection
What days will you be able to volunteer?
*
Friday, May 17
Sunday, May 19
Both Friday and Sunday
Required
Have you volunteered at a free dental clinic before?
*
Yes
No
Is there anything we should know about your skills/interests for position placement?
Your answer
Are there any languages in which you can interpret for patients?
Your answer
If you are traveling in from out of town, would you like overnight lodging provided?
*
Yes
No
Do you have any dietary restrictions?
*
None
Vegan/gluten free
For any questions, contact Lorinda at (509)-956-3165.
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