1. Provide Your Contact Information
First Name
*
MI
Last Name
*
Street Address
*
City
*
State
Zip/Postal Code
Email
*
Invalid Email
Confirm Email
*
Invalid Email
Daytime Phone
*
Invalid phone number format. Should be (000) 000-0000
Evening Phone
Invalid phone number format. Should be (000) 000-0000
Is this your first time volunteering for AHF?
Yes
No
Are you under 18 years of age?
Yes
No
1.1 Attention, students! Please fill out this section if you are volunteering as part of university program.
Please specify your university:
UAA
UAF
UAS
APU
Other
Please provide your student ID number:
2. Pick Your Duties
Are you able to perform a blood draw?
*
Yes
No
Please list medical credentials if any
How many years of blood draw experience do you have?
Number:
years
Primary Volunteer Duties: please check off any/all where you are able to help.
Medical Volunteer Duties: please check off any/all where you are able to help.
Do you speak a language other than English?
Do you have any other skills or talents?
3. Pick Your Fairs
I would like to help in the office. I am usually available on these days, during normal business hours:
Monday
Tuesday
Wednesday
Thursday
Friday
Morning
Afternoon
Fairs grouped by service area, chronological order.
Volunteer Standards Agreement
Please use this space to share any other thoughts/comments.
Electronic Signature: You acknowledge that the information you provided is correct and you agree to the terms of the Standards Agreement. Print your name and today's date below:
Please print this form for your records.
You will receive a confirmation two weeks in advance of the event(s). Should you need to cancel, please notify us right away so that we can find another volunteer. Thank you!
SUBMIT