Jack and Jill Health Fair Registration
Date: 2/11/2017
Time: 8AM-4PM
By signing up for a DOCS health fair, I understand that I am making a professional commitment to this student organization and the UMMSM. I also understand and appreciate that Health Fair Project Managers and associated staff do their best to consider my personal preferences, the needs of the health fair, and the overall success of DOCS. Every volunteer position in a health fair is vital to its overall success and we appreciate you taking the time to volunteer and provide our patients with the best healthcare experience possible. If any unforeseen circumstances arise, please contact the Station Manager and/or the Health Fair Project Manager ASAP. Any unexcused absences from the Health Fair, Training Session, and DOCS Lecture Series will be handled on a case-by-case basis and followed up with DOCS Co-Directors. *
First Name *
Your answer
Last Name *
Your answer
Class/Status *
Campus *
Phone *
Your answer
Email *
Your answer
Shift Choice *
Are you interested in rotating at the Physical Therapy station? *
Have you already been trained as a Domestic Violence Screener? *
Do You Speak Spanish? *
Do You Speak Creole? *
Carpooling *
Willing to Drive for Carpool? *
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