Collaboratory for Health Justice Volunteer Form
Hello all, thank you for your interest to be a COVID-19 volunteer. The UIC Collaboratory for Health Justice, in coordination with the UIC COVID-19 Strikeforce, is continuing to identify opportunities to collaborate with community partners.

As change is rapidly unfolding, we would now like to know about your current volunteer abilities. Please complete this survey to provide information about your availability and how you can volunteer.  

Thank you for helping us organize our resources more efficiently. We look forward to partnering with you in this effort that is, at its core, an issue of health justice.  We will follow up shortly with an email on the next steps.
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Email *
First and Last Name *
Phone number *
Preferred method of contact *
Which of the following tasks can you sign up for? *
Required
For the tasks you just selected above, can you describe your level of expertise/experience? e.g. " I have 2 years of grant writing experience"
If you are willing to help with phone calls, do you feel comfortable having extensive conversations over the phone to assess community organizations needs?  This will require navigating a resource database and providing information about existing resources; possibly probing for additional information; redirecting a conversation, and/or to follow up.  We'll provide training. *
Please indicate which days of the week you are available and how many hours you are available each of those days, e.g. Monday = 3 hrs, Tuesday = 2 , Wednesday 1 hr. etc. *
How many total hours a week can you volunteer? *
Please indicate how this availability may change in the near future (e.g, changes every week, it will change next month, etc) *
Are you able to download Doximity app to your cell phone?  We'll need this to make phone calls from a UIC phone number. *
Do you have access to a computer with reliable internet connection? *
If you are able to help us to offer contactless delivery to organizations or residents, select which of the following items you have: *
Required
Do you speak other languages? If so, which ones? Also, could you share your level of proficiency? *
We'll need quick responses when communicating with volunteers in order to get the work done on a timely manner.  Will you be easily accessible via phone or email within the next 2 weeks? *
Some partner organizations may need access to volunteers for longer-term projects.  Are you interested in a potential volunteer opportunity after the middle of June? *
Are you a UIC student, faculty, staff, or others?
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Please provide your additional skills that are not mentioned above.
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