2014 Health Fair Pow Wow Volunteers

2014 AIHREA Health Fair Pow Wow Volunteers

 
Please take a moment to fill out the following information if you are interested in volunteering at the health fair at the AIHREA pow wow. This is a large event and it takes many hands to make it a great event.
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1. First Name
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2. Last Name
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3. Primary Email Address
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4. Best phone # to reach you
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5. I am a...
6. If you have a specialty, please enter it here.
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7. I am available to work the following times
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8. I am willing to work a total of _________ 3 hour blocks.
9. If you have a preference for a particular screening(s), please check all that apply:
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