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  • VOLUNTEER APPLICATION

  • PLEASE FILL OUT APPLICATION COMPLETELY. It is important that you provide accurate contact information so we can reach you. If you have any questions or need any assistance in completing the volunteer application please let us know.

  • Northside Shopping Center
    7900 NW 27th Avenue, Suite E-12
    Miami, Florida 33147

    (786) 318-2337

     

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  • VOLUNTEER APPLICATION

  • Empower “U”, Inc. Community Health Center encourages the participation of volunteers who support our mission and vision. If you agree with our mission and vision and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you. Thank you for your interest in our organization.

    • PERSONAL INFORMATION 
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    • INTEREST/SKILLS 
    • LANGUAGES 
    • AVAILABILITY 
    • EMERGENCY CONTACT INFORMATION 
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    • AFFIDAVIT CONFIDENTIALITY OF UNDERSTANDING 
    • VOLUNTEER AGREEMENT 

    • As a volunteer of our organization I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward.

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