Feb
22
Safe Sex Kit Assembly
With Damien Center

Volunteer with Damien Center

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Name

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Email

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Pronouns

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Birthdate

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Primary Address

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Primary Phone

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Are you currently employed?

Job Title & Company

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What type of service are you interested in?

Please check as many as you'd like.
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Why are you interested in volunteering with Damien Center?

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How long are you interested in volunteering?

How did you hear about us?

If referred, who referred you?

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Emergency Contact Full Name

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Emergency Contact Phone

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Emergency Contact Relationship

Are you in need of any accommodations, under the ADA?

Availability

 MorningAfternoonEvening
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Do you have any special skills, talents, or hobbies you think could be helpful?

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Have you received your COVID-19 vaccination?

For the safety of staff and volunteers, Damien Center is limiting the number of unvaccinated volunteers per opportunity. We will not use this information for any other purpose.
Event Details
Monday 22 February 2021, 5-7pm EST
Damien Center, Indianapolis
About Damien Center
Our mission is to empower communities and persons affected by HIV/AIDS in the state of Indiana by being a leading resource, provider, and advocate for comprehensive HIV/AIDS care, prevention, education, and related services.
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Contact Us
volunteer@damien.org
+1 317-632-0123
damien.org
@damiencenter
thedamiencenter
instagram.com/damiencenter
Damien Center
26 N Arsenal Avenue
Indianapolis
Indiana
United States