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* 1. Volunteer's Name

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* 2. Email address

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* 3. Phone number

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* 4. Preferred method of contact

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* 5. On average, what days and times are you available to volunteer?

  Morning (between 9am and 12pm) Afternoon (between 12pm and 5pm) Evening (between 5pm and 9pm) All day (between 9am and 5pm) N/A
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 6. What date are you available to start volunteering?

Date

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* 7. How long do you expect to be available to volunteer?

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* 8. Do you  have access to a computer?

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* 9. What is your preferred training format?

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* 10. What's your profession?

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* 11. For what organization do you work or go to school?

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* 12. Are you fluent in any of the following languages (check all that apply)

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* 13. How did you hear about this volunteer opportunity?

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* 14. Any comments you'd like to share with us?

Thank you for completing our volunteer survey! Someone from the Cincinnati Health Department will be contacting you soon, on next steps!

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