Patients in Education | Request for Student Volunteers
1. Name *
Your answer
2. Organization: *
Your answer
3. Phone number: *
Your answer
4. Email address: *
Your answer
5. Website link:
Your answer
6. Number of students needed: *
Your answer
7. Aim/Learning Objectives (What will students learn?): *
Your answer
8. Please describe the type of activity: *
Your answer
9. Participation (What will they be asked to do?): *
Your answer
10. What disciplines could participate?: *
Required
11. Other skills or experience required if applicable:
Your answer
12. Commitment/Time (e.g. specify dates/times they are needed): *
Your answer
13. Location: *
Your answer
14. Incentives (Please indicate if you are able to provide anything to the volunteers in return for their participation such as refreshments, parking, reference, letter of acknowledgment, etc.): *
Your answer
15. What information would you like applicants to provide to help you determine if they are a good fit? *
Required
16. Deadline for volunteers to apply: *
Your answer
17. Please provide a contact person and email for student responses: *
Your answer
18. If you have a flyer or advertisement please send it to patients.in.education@gmail.com
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms