Roots rotation prescreening

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Thank you for your interest in completing your clinical rotations at Roots Community Health Center! We have some standard questions for you to answer to make sure the program we offer is a good match for you.

All questions are required to be answered in their entirety in order to be eligible to move to the video interview.

Name *

Email *

What School do you attend? *

Have you completed or are currently in any clinical rotations?
*

How long are you able to rotate?
*

When are you expected to start your clinical rotation?
*

Do you identify with any of the groups served here at Roots? If so, which ones.
*

What is your primary language?
*

Do you speak any other languages? *

Are you willing to travel to either Oakland or San Jose?
*

Any questions?

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This form was created inside of Roots Community Health Center.