Non-Medical Volunteer Form

Non-Medical Volunteer Form
Address
City
State/Province
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Availability

Please Provide a Copy of Your CV or resume, if available (not a requirement).
Drop a file here or click to upload Choose File
Maximum upload size: 16.78MB
If you would like to submit a resume or supporting document, please upload here.
We need a variety of non - medical volunteers. Please check all duties that you would be interested in providing for BIFMC.
The Clinic requires all volunteers to undergo appropriate background checks. For non-medical volunteers, we check SLED. Please Provide A Copy of Your Driver’s License.

Person to Notify in Case of Emergency

Address
City
State/Province
Zip/Postal
By submitting this application, I understand that as a volunteer, I will give of my time and talents to the mission of the Barrier Islands Free Medical Clinic, Inc. to provide non-medical duties for the uninsured population of Johns, Wadmalaw and James Islands, without compensation. I agree to undergo all required background checks and to abide by current HIPPA legislation.
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