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UNITE LA: My Pathway to Health Volunteer Interest Form

UNITE LA is currently recruiting volunteers for its My Pathway to Health program, a hybrid work-based learning program launching Tuesday, June 20th (NEW DATE) created to connect opportunity youth 18-24 to high-demand careers and training opportunities in allied health pathways, including Community Health Worker, Peer Support Specialist and Phlebotomist. 
 
Please complete the form below to share your interest and we'll get back to you to schedule some time to go over details and answer any questions you may have. 
 
We also encourage you to register for the My Pathway to Health Volunteer Info/Orientation on Tuesday, May 16 at 10:00am register here https://bit.ly/MPTHVolunteerInfo516
1.Full Name
2.Company Name
3.Occupation
4.E-mail
5.Phone Number
6.If you are or have experience as a Phlebotomist, Community Health Worker or Peer Support Specialist, would you be interested in being a career speaker?   
7.7. Please complete 7 & 8 if you are interested in becoming a mentor. If you are interested in only becoming a speaker, please skip to question 9)

Have you ever been a mentor?  
8.Why do you want to become a mentor?  
9.What areas are you interested in supporting? (Please check all that apply.)
10.Questions?