Volunteer Interest Form

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Thank you so much for your interest to be a volunteer for Miami Street Medicine! Students play an integral role in making our clinics a success. Our outreach occurs once a week on Saturdays from 8-11a. All supplies & PPE will be provided.

For more detailed information about our services, policies, and operations, feel free to explore our website and Operations Manual:

www.miamistreetmedicine.org

We respect your time and sincerely thank you for offering your expertise for this important community outreach effort.

Email *

Name *

Phone

What School do you currently attend? *

Graduation Year *

C-Number (or School ID Number if non-UM) *

Are you a fluent speaker of any languages other than english?

Spanish

Creole

Other:

Do you have prior experience working with this population?

Yes

Other:

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Would you like to be considered for a staff position?

If so, you would fill out this application: https://forms.gle/T4tAnegZ2o8CJW4k6

Yes

Unsure

Clear selection

Questions/Comments

Send me a copy of my responses.

Submit

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