NOTE:
This page is only for those volunteers who are helping with the overall fair and are not participating on behalf of an Institute or department (i.e. do not register here if you are manning a department's table).
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First Name:
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Last Name:
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Email Address:
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Phone Number:
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Organization/Department/School:
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Credentials (RN, LPN, PA and others):
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Are you able to draw blood?
Yes
No
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Are you able to take blood pressures?
Yes
No
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Are you comfortable in a clinical area (urine dips, etc.)?
Yes
No
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What size T-shirt would you like?
(NOTE: Sizes are NOT guaranteed!)
Please select...
Small
Medium
Large
X-Large
XX-Large
