This survey is for those willing to serve as a volunteer at Florida State Hospital to provide brief peer support to the residents and staff affected by Hurricane Michael. If you are not interested or available for the FSH opportunity but would like to volunteer in another capacity for hurricane relief efforts in the panhandle, please consider completing the survey. You may be contacted as other opportunities arise. 

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* 1. What days are you applying to volunteer for? (FSH will provide lunch. For those volunteering more than one day, lodging and meals will be provided.)

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* 2. Please select all that apply:

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* 3. Please provide the name of your certification/licensure and number (ifapplicable):

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* 4. Please provide your contact information

You will be contacted with more information after submission of this survey. Volunteers for Florida State Hospital should expect to participate in a 30 minute planning call the week prior. Thank you for your willlingness to serve. If you have any questions about the FSH volunteer opportunity, please contact Dana Foglesong at drbirdsong7@gmail.com

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