Hypertension Sunday Volunteer Registration 2018
Thank you for joining our Volunteer Team! We are working with clinicians to partner with Health Ministries to host blood pressure screenings and education sites throughout the Bay Area. Please fill out the information below. When completing the form please keep the following details in mind:

Date: Sunday, February 25, 2018

Screening and Education Site Locations:
Pittsburg/Antioch/Bay Point
Richmond/ San Pablo
San Leandro/Hayward/Newark
San Francisco

Screening Times:
50% of screenings will occur in the morning (8am-11:30am)
50% will occur in the afternoon (11:30am-3pm)
*Times vary and are unique to each location

Full Name *
Your answer
Credentials (e.g. MD, RN, student,) *
Your answer
Occupation *
Your answer
Organization *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
I am available to volunteer on (check all that apply) *
I am available to volunteer in the *
I am available to volunteer at the following locations (check all that apply; at this moment we may need MD volunteers at certain locations, please see below) *
I am available to volunteer for (sometimes a location will have two screenings, so we try our best to place volunteers that can stay for both shifts) *
Your answer
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