Volunteer Resource Page Form:
Free or Charitable Clinics, Rural Clinics, and FQHCs- TCWD is happy to include your practice site on our volunteer resource page! Please note this resource page is to list your site information and types of volunteer opportunities "typically" available- we are not listing each "open" volunteer role as they become vacant. If your site allows for volunteers, please complete the following information!
Practice Site Name:
*
Site Contact Email
*
example@example.com
Site Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Practice Site County
*
Practice Site Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Practice Site Website
*
Link directly to your site's volunteer information if applicable
Please list all types of volunteer opportunities your practice site/clinic TYPICALLY has available:
*
Example: Physicians, Nurses, Phlebotomist, Scribes, Administrative, Marketing.. etc.
Does your site have volunteer opportunities for high school students?
*
YES
NO
Does your site have volunteer opportunities for undergraduate/college students?
*
YES
NO
Best way for interested volunteers to find out more about opportunities at your location:
*
Contact practice site via phone or email
Complete practice site's volunteer application
Visit practice site's volunteer page
Visit practice site during operating hours
Other
If "other", please explain:
Submit
Should be Empty: