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Let's Get Healthy! Volunteer Registration

Thank you for your interest in the Let's Get Healthy! exhibit and health fair!

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Our next fairs are:

Friday, July 27, 2012. "Relay for Life." Newport, OR. Time TBA.
Partnership with the American Cancer Society.

Saturday, August 18, 2012. Asian Community Health Fair. Portland, OR. Time TBA.
Partnership with the Asian Health & Service Center.

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Please fill out the following information to volunteer for these fairs or to be put on our mailing list about future fairs. For more information about Let's Get Healthy!, check out a video from an event in 2010, visit our website, or follow us on Facebook.

If you have any questions, please contact Adam Lipus by email (lipus@ohsu.edu) or by phone (503.494.3356).

Name First Last
Email
Phone Number ### - ### - ####
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please tell us about yourself. Are you a community member? A local health professional? An OHSU student, faculty or staff? (if OHSU, which department?)
If you are under 18 years old, please let us know.
Which station(s) are you most interested in working? Please select all that apply.
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 Exhibits (nutrition, physical activity, Dance Dance Revolution, etc) Cognitive Performance Games Work Schedule Assessment No preference
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 Willamina/Grande Ronde (towards coast) Klamath Falls La Grande and Eastern Oregon Yakima and Tri Cities, WA It depends, please notify me about all.
Please select the shift(s) you would like to work during our upcoming events. (You can view an event schedule for the April events in Bend in calendar form here.)

Training is MANDATORY and is offered on-site. You may come to any training session as long as you are trained before you do your first shift. If you are unable to attend your training session, please email Adam Lipus at lipus@ohsu.edu and we will see if we can make other arrangements.

Newport, OR. Friday, July 27, 2012. Time TBA. Portland, OR. Saturday, August 18, 2012. Morning Shift. Time TBA. Portland, OR. Saturday, August 18, 2012. Afternoon Shift. Time TBA. ~~Bend, OR. Tuesday, April 3, 2012. School event at Sky View MS. Training 6:30am - 7:45am. Shift 7:45am - 11:45am.~~ ~~Bend, OR. Tuesday, April 3, 2012. School event at Sky View MS. Training 6:30am - 7:45am. Shift 11:15am - 3:15pm.~~ ~~Bend, OR. Wednesday, April 4, 2012. School event at Sky View MS. Training 6:30am - 7:45am. Shift 7:45am - 11:45am.~~ ~~Bend, OR. Wednesday, April 4, 2012. School event at Sky View MS. Training 6:30am - 7:45am. Shift 11:15am - 3:15pm.~~ ~~Bend, OR. Friday, April 6, 2012. School event at Pilot Butte MS. Training 6:30am - 7:45am. Shift 7:45am - 11:45am. SHIFT FULL.~~ ~~Bend, OR. Friday, April 6, 2012. School event at Pilot Butte MS. Training 6:30am - 7:45am. Shift 11:15am - 3:15pm.~~ ~~Bend, OR. Saturday, April 7, 2012. Community event at Pilot Butte MS. Training 7:45am - 9:00am. Shift 9:00am - 1:15pm. SHIFT FULL.~~ I am available for a partial shift. (If you check this box, please email Adam Lipus at lipus@ohsu.edu with details.) I am not available, but please keep me in mind for the next event.
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
Do Not Fill This Out

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