UCLA - Care Harbor Volunteer Sign Up
March 4th-6th, 2022 (Please register here for UCLA as well as through the Care Harbor organization's website: https://careharbor.org/volunteer-registration/)
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Name [LAST, FIRST] *
Your email *
Phone Number *
Best number to be reached at.
Which school/institute are you affiliated with? *
Required
In what capacity are you volunteering? *
If you are a doctor, are you willing to supervise medical students?
Clear selection
If you are a doctor, what is your specialty?
Which shift will you volunteer? *
(Note: if volunteering all day, please select both shifts for that day.)
Required
Any other questions or comments you would like us to know?
The following two questions are for MEDICAL STUDENTS only.
If your first shift is unavailable, is there another shift you're willing to participate?
Location: The Reef, 1933 S Broadway, Los Angeles, CA 90007  
Date: March 4th-6th, 2022

Medical, Dental and Vision Professionals may register for full day or half day.
Medical

• Full day – 8:00am – 5:00pm

• Morning – 8:00am – 12:30pm

• Afternoon- 12:00pm – 5:00pm
Dental

• Full day – 7:30am – 5:00pm

• Morning – 7:30am – 12:30pm

• Afternoon- 12:00pm – 5:00pm
Vision

• Full day – 8:00am – 5:00pm

• Morning – 8:00am – 12:30pm

• Afternoon- 12:00pm – 5:00pm
General Volunteers may register for early or late full day shifts

• Early Shift – 5:30am – 2:00pm

• Late Shift – 8:00am – 5:00pm


If you have not done so yet, please register online with Care Harbor as ALL volunteers must register on the official site to participate:

https://careharbor.org/volunteer-registration/   (Registration Tab on bottom of page)
Please remember to click the submit button. We will contact you with additional information as the event approaches. The following persons will be coordinating efforts for:


DGSOM Medical Students :
Aurora Reyes - AMReyes@mednet.ucla.edu 
Mary Ann Triest - MTriest@mednet.ucla.edu

DGSOM and UCLA Health MDs:
communityengagement@mednet.ucla.edu
Becky Mancuso Winding - bmwinding@mednet.ucla.edu 

Jule Stien Eye Institute:
Kara Mondino - kmondino@jsei.ucla.edu

School of Dentistry:
Dr. Ed Hewlett - ehewlett@dentistry.ucla.edu




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