Galveston County Volunteer Medical Personnel Pool Mass Vaccination Project
Please fill out the following information if you are interested in supporting the vaccination hubs in Galveston County. Shifts will be from 7:00 am until approximately 5:30 pm. PPE and meals provided. You will be notified when the next opportunities to serve open up via email. The dates are subject to the availability of the vaccine and you will be updated as soon as possible should the need arise.

Non-medical volunteers can apply for a shift here: https://forms.gle/HsUTCcG5gxRAJMvv5
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Email *
First Name *
Last Name *
Cell Phone *
Email Address *
Emergency Contact Number *
Affiliation *
Current level of medical certification: *
License or Certification Number *
Certification Expiration Date *
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