Solsur Medical Volunteering Club Application 🏥💖

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Hey future medical (or just wanna volunteer) maestro! We're super excited to get to know a bit about you. Fill out this form to take your first step into the wonderful world of medical volunteering! Applications are due by September 21st and spots are limited so fill this out ASAP.

ALL VOLUNTEER HOURS ARE SEMI-OPTIONAL IF YOU CANNOT MAKE IT

Full Name *

Age *

Grade *

Freshman

Sophomore

Junior

Senior

Phone Number *

Email *

Let's Get to Know You a Bit 🌟

Summarize your interest in the medical field in a sentence or two (we promise we won't judge! 😊):

Are you considering a pre-med pathway for the future?
*

Yes, definitely!

Not really, but I am open to learning and volunteering

Maybe, still exploring

Availability 🗓

How much time can you dedicate to the club?

-We will be fundraising after school on Tuesday and Thursday Afternoons after school) (Optional)

-Over the weekend in the fall we will be going to Santa Ana to assist doctors in a non-profit.

-Other volunteering and doctor shadowing as well.

Just for Fun! 😄

If you could have a superpower, what would it be and why?
*

Lastly, some logistic stuff:

Do you have any certifications or trainings (like CPR) that might come in handy? (It’s totally fine if you don't!)
*

Yes

Would you be interested in a leadership (board) position in Solsur?

Yes

Maybe

Clear selection

Declaration

Please rewrite it in the text box below.

I, _______________, hereby confirm that the details mentioned above are true and I am committed to joining.

Submit

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