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Student Volunteer Application for EKFMC
This is the general volunteer application for the East Knoxville Free Medical Clinic. Please fill out the information below so we are able to send you information on the appropriate steps for coming to volunteer at the clinic! If you have any question, feel free to reach out to
eastknoxfreemedicalclinic@gmail.com
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* Indicates required question
First & Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
What year are you in school?
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College Freshman
College Sophomore
College Junior
College Senior
Graduated
Other:
What is your area of interest?
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Pre-Medicine
Pre-Dental
Pre-PA
Nursing
Other:
We have many patients who speak little to no English, and as a result, we are always in need of translators. Would you be able to help serve as a Spanish translator?
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Yes
No
If so, what is your level of Spanish?
Beginner
Intermediate
Advanced
Clear selection
Do you have any experience with underserved communities? If so, what impact did that have on you?
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Your answer
Why are you interested in volunteering at EKFMC?
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Your answer
What do you hope to gain from your experience of volunteering at EKFMC?
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Your answer
The clinic is only open on Mondays from 12-4. What does your availability look like?
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Your answer
Would you be interested in volunteering at events outside of Mondays such as clinic cleanups on the weekends?
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Yes
No
How did you find out about us
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Internet
Word of Mouth
Another Organization
Other:
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