CDPH x OSH: Protect Chicago Plus Volunteer Interest Form
Great news - Oak Street Health is partnering with the Chicago Department of Public Health and Belmont-Cragin community-based organizations to administer the COVID-19 vaccine to all residents of Belmont-Cragin in Northwest Chicago - one of Chicago's most vulnerable neighborhoods by the Chicago COVID-19 Community Vulnerability Index (CCVI). [More here:]

Each weekend, starting on Saturday, February 13th, we'll vaccinate 1,000 people/day - with the intent of distributing 16,000 first and second doses by the time we wrap on Sunday, April 4th.

As part of that effort, we seek volunteers to help us staff our eight weekend community vaccination clinics in Belmont-Cragin, in both operations and vaccinator roles. (We require that vaccinators have clinical training, whether as a provider, a student or a post-graduate trainee.)

Volunteer positions are available in half-day and full-day blocks. We can offer swag and COVID19-safe meals in exchange. :)

Please complete the form below to indicate your volunteer interest. We will provide you with details of the roles, any necessary verification of your current position (particularly for vaccinator roles, such as a copy of your medical or nursing license/employee ID) and all necessary training.

Thank you for your service! If you have questions, please contact

Please note: filling out this survey is an indication of your interest in volunteering with the Chicago Department of Public Health's COVID-19 vaccination efforts at Oak Street Health and serves as consent to be contacted by an OSH team member to follow up and schedule your shift(s). Your information will be kept private and shared on a need-to-know basis only.

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Email *
First Name *
Last Name *
Preferred Contact Number (Phone/Text) *
Preferred Pronouns *
Languages Spoken (Intermediate or above) *
Preferred Volunteer Role (Note: Anyone is welcome in an operations role! Vaccinators require clinical training.) *
Current Clinical Role (for Vaccinators only)
Preferred Volunteer Dates *
Preferred Volunteer Shifts *
Interested in being an Ops Captain or Vaccinator Captain? Let us know!
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