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Oregon Vaccinated
This initiative aims to eliminate COVID-19 disparities for Oregon’s BIPOC communities. As a valued team member for this project, you will be helping to interpret and assist with testing or vaccine registrations and REALD data collection. This statewide effort supports the initiative to reduce barriers to COVID-19 testing and vaccination.
Please complete the following questionnaire:
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Contact Information
First Name
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Your answer
Middle Initial
Your answer
Last Name
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Your answer
Address
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Your answer
City
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Your answer
Zip Code
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Your answer
County
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Choose
Baker
Benton
Clackamas
Clatsop
Columbia
Coos
Crook
Curry
Deschutes
Douglas
Gilliam
Grant
Harney
Hood River
Jackson
Jefferson
Josephine
Klamath
Lake
Lane
Lincoln
Linn
Malheur
Marion
Morrow
Multnomah
Polk
Sherman
Tillamook
Umatilla
Union
Wallowa
Wasco
Washington
Wheeler
Yamhill
Phone Number
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Your answer
Email Address
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Your answer
I am at least 18 years of age
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Yes
No
Do you have experience working in community health related events? If so, please explain?
Your answer
Are you bilingual? If so, please list all languages you speak and experience level.
Your answer
If you are chosen for this work opportunity, are you comfortable with the following
Working with diverse communities?
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Yes
No
Working weekends?
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Yes
No
Do you have access to a computer?
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Yes
No
Be available during the week for biweekly team virtual meetings?
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Yes
No
Thank you for your interest in this project to bring equitable health access to all communities. One of our team members will contact you shortly.
Respectfully,
Vive NW Management Team
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