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CARE Connections - Volunteer Interest Form
Hello all! Thank you for your interest in CARE Connections. Please fill out the following form to indicate your interest in the program and commitment to volunteering. We will be in touch with more information about volunteer training after you complete the form. Please email
Michelle Tang (
michelle.j.tang@duke.edu
),
Nellie Chen (
nellie.chen@duke.edu
), or
Victoria Lue (
victoria.lue@duke.edu
) if you have any questions!
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* Indicates required question
What is your name?
*
Your answer
What is your Duke email address?
*
Your answer
What is your cell phone number?
Your answer
Which program are you in at Duke?
*
Graduate School
MD
Nursing
OT
PA
PT
Undergrad
Other:
When do you graduate? (month, year)
Your answer
Write a sentence or two explaining your interest in volunteering with the CARE Connections
Your answer
Please indicate the volunteer opportunities you are interested in:
*
Click
here
for a description of the open volunteer opportunities.
Well-Check Calls
Delivery
Health Fairs
Required
If interested in well-check calls, how many seniors would you like to call each week?
3-5
6-7
8-10
Other:
Clear selection
If interested in well-check calls (no week to week commitment on deliveries and/or health fairs) - Can you commit to calling your seniors EVERY WEEK and attending 50% of the education sessions (once per semester)?
Yes
No
Clear selection
Do you have any questions or comments for the leadership team?
Your answer
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