CCACC Health Center 2025 Volunteers Sign Up Form

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Thank you so much for your interest volunteering with us. The clinic is looking for volunteers to support our operations. Please feel free to leave your contact information if you are interested in getting involved with these events.

We will contact you if your support is needed.

Thanks again!

One Time Volunteering:

Please check if you are interested in supporting the following health outreach events in 2025

10/11/2025 (Sat) 12pm - 5:30pm CCACC Health Fair at 9366 Gaither Road, Gaithersburg, MD 20877

Interested in any future events in planning

Other:

Required

Internship opportunities:

We offer professional development opportunities for various healthcare professional in training. Please note that we can only take very limited numbers of intern at any given semesters. Also, we require long term commitment for these opportunities.

Clinical Support for Pre-Med Track Students (we required at least one year commitment)

Internship for Mental Health Professionals (We required at least one year commitment)

Summer High School Intern to support administrative tasks and outreach event (Only 2 needed. Required at least 3 weeks Mon-Fri))

Overdose Response Program (ORP) Community Outreach and Education

Other:

Clear selection

Volunteer Opportunities for other Healthcare Professionals:

We are fortunate to have many community healthcare professionals willing to volunteer with us throughout the year. We typically welcome volunteers who can commit to serve at least one day a week (Monday-Friday) on a consistent basis.

Please fill out the following information. We will contact you when opportunity comes up.

Medical Doctor or Other Healthcare Professionals

RN and others

Pharmacist

EMT

Premed Student

None

Mental Health Professional

Other:

First Name 名字 *

Last Name 姓氏 *

Email 電郵 *

Phone Number 電話

Languages you speak 您會說的語言 *

English

Chinese 中文

Cantonese 廣東話

Spanish

Korean

Vietnamese

Hindi

Other:

Required

Age Group 年齡 *

Under 18 years old 18歲以下 (You will need to be accompanied by a parent, or guardian)

18 to 30 years old 18歲-30歲

Above 31 years old 31歲以上

Thank you for completing the survey. 謝謝您完成問券的填寫

If you have any questions or concerns, you are welcome to contact us at panasianclinic@ccacc-dc.org or yuhsin.chou@ccacc-dc.org. Thank you once again!

What experience would you like to gain from this volunteering opportunity?

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