Volunteer Interest Form

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Elmhurst Community Unit School District 205 will be hosting three vaccine clinics for students ages 5-11 in the coming weeks:

Jackson Elementary School - November 15, 2021 and December 6, 2021
Fischer Elementary School - November 17, 2021 and December 8, 2021
Edison Elementary School - December 1, 2021 and December 22, 2021

Please complete this form to let us know you are interested in volunteering and a member of our team will follow up with you as soon as possible.

First Name

Last Name

E-mail Address

Phone Number

Days and times that you would like to volunteer

11-15-2021 - Jackson Vaccine Clinic

11-17-2021 - Fischer Vaccine Clinic

12-1-2021 - Edison Vaccine Clinic

12-6-2021 - Jackson Vaccine Clinic - Dose 2

12-8-2021 - Fischer Vaccine Clinic - Dose 2

12-22-2021 - Edison Vaccine Clinic - Dose 2

Other information you would like to share

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