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Board of Directors
2019 Annual Report
How to Volunteer
PXV FIELD DAY
SUPPORT THE CLINIC
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Volunteer Application (Non-Healthcare)
Thank you for your interest in volunteering for The Clinic! We ask that you complete this application as a first step to becoming a volunteer.
How did you hear about us?
Have you worked or volunteered at The Clinic before?
If so, when?
Are you or family member currently served by The Clinic?
Please tell us why you want to volunteer and what you hope to gain from the experience.
Please note any physical limitations.
What volunteer opportunities interest you?
Business or volunteer office
Please check the day(s) you are available:
Please check the time(s) you ae available:
4:00-6:00 (when available)
What is your time commitment?
How often would you like to volunteer?
1 time per week
Several times per week
Every other week
Year of graduation
Are you currently a student?
If yes, degree sought and major:
Anticipated graduation date
Last PPD test
Have you ever been convicted of a crime?
If yes, please explain.
The information contained in this application is correct to the best of my knowledge.