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New Life Church Mobile Vaccine Volunteers // Voluntarios para la clínica móvil de vacunas de la Iglesia Nueva Vida
Please provide the following information/Por favor provea la siguiente información
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* Indicates required question
Name/Nombre
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Your answer
Email/Correo electrónico
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Your answer
Phone Number/Número telefónico
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Your answer
Are you a licensed Medical professional? ¿Es usted un profesional médico con licencia?
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(MD, RN, PA or NP, pharmacist, dentist, or paramedic) / Doctor en medicina, enfermero(a) registrado, farmaceuta, dentista o paramédico
Yes/ Sí
No/ No
Other:
How did you hear about us? ¿Cómo te enteraste de nosotras?
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Your answer
Dates you want to sign up for/ Fechas en las que desea registrarse
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April 17th 7-9 am / 17 de Abril 7-9 am
April 17th 9-1:30 pm / 17 de Abril 9-1:30 pm
April 17th 1:30-6 pm / 17 de Abril 1:30-6 pm
April 24th 7-9 am / 24 de Abril 7-9 am
April 24th 9-1:30 pm / 24 de Abril 9-1:30 pm
April 24th 1:30-6 pm / 24 de Abril 1:30-6 pm
Required
Which of the following Roles are you open to doing? ¿Cuáles funciones estaría dispuesto a servir?
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Security (needed 10am-6pm) / Seguridad (se necesita de 10am-6pm)
IT (needed 10am-6pm) / Informacion tecnica (se necesita de 10am-6pm)
Prayer and Hospitality Team (needed 10am-6pm) / Oración y equipo de hospitalidad (se necesita de 10am-6pm)
Translation (basic) / Traducción (básica) (10 am - 6pm)
Wherever you need me!/ ¡Donde sea que me necesiten!
Required
Have you already served and filled out an application with MMA? / ¿Ya llenó una solicitud con MMA?
*
If not, please fill out their form here ASAP:
https://hipaa.jotform.com/210825275888164
Yes/Si
No
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