Wufoo
Let's Get Healthy! Volunteer Registration
Thank you for your interest in volunteering with
Let's Get Healthy!
We welcome all volunteers regardless of age or experience--just fill out this form to tell us a bit about yourself.
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Our next fairs are:
April 6-7, 2013. Warrenton, OR.
8:30a - 4:00p both days.
Second fair for the Astoria Women's Heart Health Initiative study, also based out of OHSU.
April 19, 2013. Portland, OR.
8:00a - 3:00p.
Fair in collaboration with Oregon Medical Association. Event hours are 8:00 am - 3:00 pm.
April 22, 2013. Salem, OR.
10:00a - 2:00p.
Part of "OHSU Day" at the Capitol. This volunteer opportunity is open to OHSU students and staff only. Hours are 10am-4pm. If you are interested in this opportunity, please
go to this separate registration site.
August 8, 2013. Portland, OR.
Hours TBA.
Fair in collaboration with Multnomah County Health Department. Location is at their clinic at NE Killingsworth and MLK.
For more information about
Let's Get Healthy!
, check out our
video
, visit our
website
, or
follow us on Facebook
.
You will receive an automated confirmation email once you successfully submit this form. If you have any questions, please contact Amy Palma (palmaa@ohsu.edu).
Name
*
First
Last
Email
*
Phone Number
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####
City
State/Province/Region
Zip Code / Postal Code
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Please tell us about yourself. For example, are you a student? A community member? A health professional?
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What is your age?
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18 years old or older
Younger than 18 years old
Are you affiliated with Oregon Health & Science University (as a formal employee, student, volunteer, etc.)? NOTE: this does
not
include volunteering with the Let's Get Healthy! program.
*
Yes
No
How did you hear about "Let's Get Healthy!"?
Which station(s) are you most interested in working? Please select all that apply.
For more information about each station,
click here
.
Entry / Registration Kiosk
Diet Assessment
Body Composition
Sleep Assessment
Cancer Risk Assessment
Blood Pressure
Blood Chemistry (not held at school events)
Genetics (not held at school events)
Data Entry
Evaluation
Cognitive Performance Games
Work Schedule Assessment
No preference
FIRST-TIME VOLUNTEERS: if you have not volunteered with us before, you must be trained before your first volunteer shift. Training is mandatory and is offered on-site. If you are unable to attend any of the training sessions below, please email Amy Palma at palmaa@ohsu.edu, and we will see if we can make other arrangements.
Training options: please choose one.
*
Warrenton, OR. Saturday, April 6, 2013. 7:00am - 8:30am.
Warrenton, OR. Sunday, April 7, 2013. 7:00am - 8:30am.
Portland, OR. Friday, April 19 7:15am
Portland, OR. Friday, April 19 11:00am
No training necessary--I have volunteered with Let's Get Healthy! before. (Amy Palma may be in touch with you about special arrangements.)
SHIFT SIGN-UP. Below is a list of shifts at our upcoming events. Please select the shift(s) you would like to work.
Please only check a box if you intend to show up for that shift
.
*
I am available for a partial shift(s) and will email Amy Palma (palmaa@ohsu.edu) with details
Women's Heart Health Initiative.
Warrenton, OR.
Sat, Apr 6. 8:30a - 12:30p.
Women's Heart Health Initiative.
Warrenton, OR.
Sat, Apr 6. 12:15p - 4:15p.
Women's Heart Health Initiative.
Warrenton, OR.
Sun, Apr 7. 8:30a - 12:30p.
Women's Heart Health Initiative.
Warrenton, OR.
Sun, Apr 7. 12:15p - 4:15p.
Oregon Medical Association.
Portland, OR.
Fri, Apr 19. 8:00a - 12:00p
Oregon Medical Association.
Portland, OR.
Fri, Apr 19. 11:30a - 3:45p
Are you interested in carpooling? (If so, we will share your contact information with other fair volunteers who are also interested.)
Yes
Yes, and I am willing to drive others
No
Which languages do you speak?
English
Spanish
Mandarin
Cantonese
Korean
Vietnamese
For future reference, please tell us which area(s) you would be interested in volunteering at a
Let's Get Healthy!
event. We will notify you by email about upcoming events in the areas you check. You may check multiple boxes.
Metropolitan Portland
St Helens/Scappoose
Bend
Madras
Hermiston
Coastal Oregon (north-central)
Klamath Falls
La Grande and Eastern Oregon
Yakima and Tri Cities, WA
It depends, please notify me about all.
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