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2025 OneSight Vision Clinic - Volunteer Interest Form
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1.
Please fill out your information below:
(Required.)
First and Last Name
Organization or School volunteering on behalf
Email Address
Cellphone Number
*
2.
What days/times are you available/interested in volunteering?
(Required.)
Thursday, June 19 8:30 a.m. – 1:30 p.m.
Thursday, June 19 1:00 p.m. – 6:00 p.m.
Friday, June 20 8:30 a.m. – 1:30 p.m.
Friday, June 20 1:00 p.m. – 6:00 p.m.
*
3.
I am a ________.
(Required.)
Ophthlamologist
Optometrist
Optician
Other optically skilled Vision Professional
Medical Professional
Medical Student
Vision Student
General Volunteer
4.
Additional skills or notes:
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5.
Do you fluently speak another language other than English, and would you be willing to assist with translation if needed?
(Required.)
Yes
No
6.
If so, please list what languages (other than English) you speak:
7.
Special accommodations? (e.g. limitations on standing, lactation room, dietary restrictions, etc.)