YHC Volunteer Survey & Orientation Quiz
It is estimated that completing this survey, orientation, and quiz will take ~1 hour. Please answer all of the questions that apply to you. In order to pass the orientation quiz, you must score 95% on the questions (unlimited attempts). If you do not pass the quiz on the first attempt, please skip the first two sections of this form and just retake the quiz! We look forward to you volunteering with us soon. 
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Email *
What is your first and last name? *
What is your email address? *
What is your cell phone number? *
What is your volunteer role?
Clear selection
Students Only: What university are you currently enrolled and what is your projected graduation month/year? Ex. CU Anschutz, 12/2021
Students Only: What degree are you currently seeking?
Clear selection
If you put “Pre-Health Student (undergrad)”, what major are you seeking?
Licensed Healthcare Professionals Only: What license do you currently hold?
Licensed Healthcare Professionals Only: Do you have current prescriptive authority in Colorado?
Clear selection
Do you know of any other licensed healthcare professionals who may be interested in volunteering with YHC? If yes, please provider their name, field of work, and contact email.
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