IATA COVID-19 Athletic Trainer's Donation Survey
Thank you for aiding the battle with COVID-19 in Illinois. Please let us know a little more about your donation and your efforts!
* Required
Name of Donating AT (You)
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Your answer
Email of Donating AT
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Your answer
Please List Items Donated and Approximate Quantity
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Your answer
Name of Hospital or Organization you donated to
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Your answer
Location of Hospital or Organization
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Your answer
Contact person & their contact information with Hospital or Organization
Your answer
Have you aided healthcare efforts during the pandemic with your time? Was your time volunteered or paid? Was it part of your regular paid position that was transitioned? Lastly if you need any assistance please reach out to IATA!
Paid Position for hospital that was transitioned from other duties by my regular employer
Paid Position for hospital (part time or full time) that was not my regular employer
Volunteered in hospital setting
Volunteered in another setting such as health department
I work for a clinical outreach and transitioned to more clinic hours or other roles
Other:
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This form was created inside of Alton Community Unit School District #11.
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