Please fill in the necessary information requested to volunteer for Health Connect South 2015.

If you have any questions, please contact us by phone at:

678.395.3618

or email at:

hcs@proapg.com.

Thanks for volunteering for Health Connect South 2015!

Question Title

* 1. Please provide your basic contact information.

Question Title

* 2. Indicate below, the top three (3) time slots you will be available to volunteer on Wednesday, September 16, 2015. Please rank the top three (3) with one (1) as most favorable through three (3) as least favorable.

  First Choice Second Choice Third Choice
6:00 AM - 10:00 AM
9:00 AM - 1:00 PM
12:00 PM - 4:00 PM
3:00 PM - 7:00 PM
I'm available anytime, please schedule me as needed.
I'm not available anytime, on Wednesday.

Question Title

* 3. We will need assistance in the Norcross office on Tuesday, September 15, 2015 for final preparation of materials and equipment for the event. Indicate below, the top three (3) time slots you will be available to volunteer on Tuesday, September 15th. Please rank the top three (3) with one (1) as most favorable through three (3) as least favorable.

  First Choice Second Choice Third Choice
9:00 AM - 12:00 PM
12:00 PM - 3:00 PM
3:00 PM - 6:00 PM
I'm available anytime, please schedule me as needed.
I'm not available anytime, on Tuesday.

Question Title

* 4. Please let us know why you would like to volunteer.

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