The Identity Clinic: Clinic Navigator Application Form
The Identity Clinic, a collaboration between Living Classrooms Foundation (LCF) and JHU SOURCE, assists residents of Baltimore City in completing and processing the forms needed for a Birth Certificate and Social Security Card. The Identity Clinic is seeking volunteer Clinic Navigators to help run The Identity Clinic.

The Identity Clinic: 1st & 3rd Saturdays of the month, 10AM-2PM at The Living Classrooms Foundation UA House, 1100 East Fayette Street.

Questions? Contact SOURCE at SOURCE@jhu.edu

Email address *
First Name *
Your answer
Last Name *
Your answer
School Affiliation *
Required
Status *
Required
Degree Program, if student
Your answer
Phone number *
Your answer
Are you able to commit to volunteering for one shift a month? Shifts are the 1st & 3rd Saturdays of the month from 10AM-2PM at Living Classrooms Foundation. *
About what length commitment are you able to make? *
What skills do you have that would make you a valuable Clinic Navigator? *
Your answer
What interests you about The Identity Clinic and being a Clinic Navigator with Living Classrooms Foundation? *
Your answer
What demographics have you worked with in the past? (i.e. low-income, non-English speaking, etc.) *
Your answer
Do you speak any other language(s)? If yes, please list language(s). *
Your answer
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