Desert Hearts 2020 Medical/Harm Reduction Volunteer Application
Welcome!! Spots are limited so we need your info ASAP!
Thursday, April 23rd through Monday, April 27th
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Date of Birth *
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Email Address *
Your answer
Link to Facebook URL *
Your answer
What city do you currently live in? (LA, SD, SF, Orange County, etc.) *
Your answer
Level of Certification (CPR/First Aid, EMT, RN, MD, LCSW, MFT, etc.) *
Your answer
Are you planning on volunteering for Desert Hearts Medical? *
Previous medical/first aid/harm reduction experience *
Your answer
Previous festival experience *
Your answer
Previous festival medical experience (Have you volunteered with medical or first aid at a festival? Which ones?) *
Your answer
Have you ever volunteered for RGX Medical before? *
Are you interested in doing harm reduction? (Sanctuary/Holding Space) Please list any relevant training/experience.
Your answer
Which day and time do you anticipate arriving onsite? *
Which day and time do you anticipate departing site? *
Are you interested in volunteering pre-event or post-event? (There are a few shifts available pre/post for build/strike) *
Do you plan on camping in medical camp? *
If you are camping with us, please briefly describe your camping set-up/foot print. (For example, camping in a 4 person tent with a 10x10 pop-up) *
Your answer
Do you have any dietary restrictions? *
Required
Were you referred by someone? If yes, who referred you? *
Your answer
Were you referred from the Desert Hearts website?
Emergency Contact Name and Relationship (e.g. Mother) *
Your answer
Emergency Contact Phone Number *
Your answer
Anything else we should know? (This section is important. Please fill out anything relevant.)
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