Volunteering for Vaccine Clinics

Business Health Trust continues to work to help all get vaccinated. Please fill this survey out to be notified of future clinics and/or if you would like to volunteer to help with non-medical tasks at a future clinic location.

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* 1. Name

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* 2. Email

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* 3. Employer

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* 4. Zip Code

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* 5. Please let me know when future vaccine sites open so that I can sign up for an appointment.

Yes

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* 6. I would like to help as a volunteer at a future clinic

Yes

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* 7. My company may want to help in one of these ways

Provide lunch for a clinic's staff/vollunteers

Provide financial support to help with translation and other logistics to support a clinic

Provide a space or parking lot to host clinics for my area's eligible individuals