Thank for you expressing your interest in volunteering at the Santa Clara County Public Health Department. The Epidemiology & Data Management Team is looking for students who are interested in working with the community and would like to gain exposure to health surveys and community interaction. Please kindly complete this survey and provide us with your name and contact information, so that we can share additional information with you. Individuals fluent in one or more of the Asian languages below will be preferred and may be asked to take a language test. If you have any questions, please contact Roshni Shah in the Epidemiology & Data Management unit at 408-792-5021.

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* 1. Are you a resident of or local to Santa Clara County?

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* 2. If selected for this opportunity, what times would you be available to work? (Check all that apply)

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* 3. Please indicate which Asian language you can fluently read, speak and/or write. (Check all that apply)

  Speak Read Write
Japanese
Korean
Mandarin
Hindi
Tagalog
Vietnamese

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* 4. What is your level of proficiency in each language?

  No Practical Proficiency Elementary / Limited Working / Minimum Professional Proficiency Full Professional Proficiency / Native or Bilingual Profiency
Japanese
Korean
Mandarin
Hindi
Tagalog
Vietnamese

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* 5. Do you have any experience conducting health surveys in diverse communities? Diverse communities can include individuals from different ethnic group, individuals speaking different languages, individuals of varying age or income level, etc.

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* 6. Do you have experience doing data entry for health survey data?

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* 7. Please share your contact information with us.

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