1. UPMC Lend a Hand Event

The UPMC Lend a Hand event will be held at The Millvale Public Library on Monday, January 16. The site address for the Millvale Public Library is 213 Grant Avenue, Pittsburgh, PA 15219. The duration of the project will run from 9:30 am – 3:30 pm (shifts available). Volunteers will assist with interior improvements by painting, installing dry-wall, flooring, clean-up and other duties as assigned. For more information, contact the UPMC Center for Inclusion at 412-864-3582 or e-mail inclusion@upmc.edu or 412-864-3582 for more information or email inclusion@upmc.edu.

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* 1. Will you be in attendance for the UPMC Lend a Hand event at The Millvale Public Library on January 16, 2012?

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* 2. What is your first name?

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* 3. What is your last name?

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* 4. Please provide the name of your business unit at UPMC and/or organization (if applicable).

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* 5. Please provide a valid email address (for event updates and/or schedule changes).

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* 6. What time are you available to volunteer (Duration of project - 9:30 am - 3:30 pm)?

  9:30 am - 11:30 am 11:30 am - 1:30 pm 1:30 pm - 3:30 pm
Morning
Afternoon
Late Afternoon
All Day (please check all three time slots)

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* 7. This event is child-friendly. Will you be bringing any children with you?

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* 8. If bringing children, how many?

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* 9. To assist the project coordinators, if you are bringing children, please provide their age(s)?

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* 10. Please provide a valid phone number (for event updates and/or logistical questions) on the day of the event.

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* 11. Participating volunteers will receive a 'UPMC Lend a Hand' T-shirt. Please provide your size:

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* 12. Do you need any personal accommodations to participate?

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