Thank you for your interest in volunteering your time and skills to support UT Medical's community health initiatives. As a UTM team member, your commitment to these initiatives plays a vital role in improving access to health resources and creating positive experiences for community members. We look forward to having you as part of our team. Once you submit your survey, you'll receive an email with information about upcoming volunteering opportunities.

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* 1. Today's date

Date

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* 2. Full name

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* 3. Email address

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* 4. Cell phone number

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* 5. Preferred method of contact

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* 6. How do you identify yourself?

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* 7. Unit/Department/Area/COE

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* 8. If you have volunteered at community health events before, please check the type of events you have volunteered at. (Check all that apply)

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* 9. What days are you generally available?

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* 10. From the following options, please select the events you would like to volunteer for.

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* 11. How many hours can you volunteer per event?

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* 12. Are you available for:

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* 13. What volunteer roles are you interested in? (Check all that apply)

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* 14. Are you bilingual or multilingual?

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* 15. If yes, which language(s) do you speak fluently?

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* 16. Would you be willing to assist non-English-speaking participants?

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* 17. Who would you like to volunteer with. (Select all that apply)

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* 18. Do you have any accommodations or preferences we should be aware of?

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* 19. Is there anything else you would like us to know?

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