Volunteer Info Form
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Aequanimitas - goodwill, kindness, favor; calmness, patience, equanimity
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To students without active clinical responsibilities:

In preparation for continued or expanded closures and quarantines due to COVID-19, we're collecting contact information of people willing to pitch in. We anticipate there will be various forms of support needed for front-line responders (doctor, nurses, service workers, and many others) to adapt to changing circumstances.

Please fill the following form if you are willing to help. Please also indicate what (potential) activities you would be willing to help with, and feel free to add any suggestions of needs that may be unmet. This isn't a commitment at this time--we are just trying to collect a list of folks to reach out to so we can respond quickly to any needs that arise.

NOTE: If you have already filled out this form and your availability or the activities you would like to volunteer for changes, please fill out this Update Form and we will update your records:
https://forms.gle/kYLk6Eza4tjUVp8h6 

Please also note the information in this sheet is being shared with students and providers at Johns Hopkins and University of Maryland.

If you are interested in helping but would like to keep your contact information private, feel free to reach out to BmoreHealthMAC@gmail.com.

Your request will be reviewed by our coordinators and communication should begin at your institutional email. You should await contact from a provider and decide on your own whether an arrangement can be made.

If you are not already part of the Baltimore Health Professionals Mutual Aid Cooperative Facebook group, please consider joining for updates and information: https://www.facebook.com/groups/492579651618502. We are looking always looking for more volunteers and leaders for this and future citywide organizing efforts.

We also now have social media accounts where we'll be posting updates and featuring volunteers! Please go like/follow them!
Public Facebook page: https://www.facebook.com/bmorehealthmac/
Instagram: @bhp_mac
Twitter: @BHP_MAC

In solidarity,
The Baltimore Health Professionals Mutual Aid Cooperative

PLEASE READ THIS DOCUMENT BEFORE SIGNING UP: https://drive.google.com/file/d/1lPHeCa0-Z7d2aa10H0Aat-D_5xU_zPpH/view?usp=sharing

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First and Last Name. Please indicate your pronouns as well if that is something you would like to share. *
Institutional Email *
Phone # *
DOB *
School Affiliation *
Zip Code (five digit) *
Neighborhood *
Car? *
How far can you travel? (in miles)
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