COVID Vaccine Volunteer Form

Wanted: Volunteer Nurses to Administer COVID-19 Vaccines

ASNA is developing a pool of nurses to administer the COVID-19 vaccines as they become more readily available. This will be a volunteer opportunity and the only requirement is to have a current nursing license. As opportunities become available, we will contact you about placements.

You do not have to be an ASNA member to volunteer.

Name *

First Name Last Name

I hold a valid nursing license

Yes No

Personal Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Area of Alabama where you are willing to volunteer: *

Are you currently an ASNA member? *

Yes No No, but I'm interested in joining

Thank you for volunteering. ASNA is serving as a hub of information for community service volunteer opportunities and needs. As such, we will notify volunteers of these needs as they arise. Volunteers will have a choice in administering vaccines or performing other important duties such as scheduling, logistics or administrative assistance. It is the responsibility of the volunteer to hold an Alabama nursing license and if they choose, their own personal liability insurance. The State Health Officer, Dr. Scott Harris, issued a memo February 1, 2021 giving extra liability protection for nurse volunteers engaged in COVID-19 efforts.

COVID-19 Vaccine Volunteer Form