COVID-19 Indigenous Health Partnership Volunteer Form
Email *
Name *
Program/Year *
What Indigenous region are you most interested in focusing on? (Can select more than one. This will help determine what team you are placed in) *
Required
What languages can you communicate in? *
What aspect of the campaign are you most interested in working on (Can choose more than 1) *
Required
If you have an advanced degree in a health related field please indicate what it is here. *
If you have any ideas on how we can strengthen this effort please let us know below!
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of MGCY.