Poke Volunteer Application
Poke is a warm and welcoming environment where people come to heal in a community setting. We are looking for volunteers who are friendly, thoughtful, reliable, and who value being part of a community.  

Please fill out the following information, and our volunteer coordinator will be in touch!
Sign in to Google to save your progress. Learn more
Email *
Name *
First and last name
Pronoun
Languages spoken or written *
Why are you interested in volunteering at Poke? *
Have you had any previous work experience in this field (i.e: reception/administration, customer service)? *
What is your experience with acupuncture/traditional Chinese medicine? Have you been to a community-style clinic before?
We’re looking for a 6 month commitment of one 3 or 4 hr shift per week. Can you do it? *
When would you like to start? Do you have a definite end date in mind?
Please select any of the shifts that would work with your current schedule: *
Required
Does your schedule change much (i.e. due to school)? Do you have other full time or part time work? Are you in transition from one commitment to another? *
Poke is a member of the People’s Organization of Community Acupuncture (POCA). POCA developed the model for community acupuncture and continues to support the growth and development of clinics and practitioners across North America. Membership is offered on a sliding scale starting at $25 USD and includes a number of benefits including a free birthday treatment. If you are not currently a member, would you be willing to become one? *
Required
Thank you for your application. Thank you for thinking of us.
We look forward to reviewing your application. Please be aware that we aren’t able to promise a position to everyone who applies. We consistently do our best to find a “good fit” between person and position, so that the volunteer has a positive experience here.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Poke Community Acupuncture. Report Abuse