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> Our Response to COVID-19

Throughout the COVID-19 pandemic we are doing everything we can to keep our patients and volunteers safe.

More Information

Volunteer Application

Your Information

Your Background

Availability

Weekly Availability

Monday Evening

Tuesday Evening

With advance notice, are you willing to do outreach clinics at variousties of day and night?

Yes

No

Experience

Do you currently volunteer at another agency?

Yes

No

Experience (Health Care Professionals Only)

Have you completed OSHA blood born pathogen training?

Yes

No

Have you had a Hepatitis A & B vaccination?

Yes

No

Recent TB Test?

Yes

No

Emergency Contact

Volunteer Commitment

BESTD Clinic requires a 12-month commitment and requires that volunteers volunteer at least one time each month. I will honor the time and task commitments I make and fulfill them as one of the priorities of my life. If illness or an emergency prevent me from honoring my commitment, I will either attempt to find someone to replace me or notify the Clinic with the longest possible lead-time. I will not knowingly allow client service to be less than adequate or my volunteer colleagues to have to double up due to my negligence, irresponsibility or lack of commitment.

Signature

Your Signature

Thanks for submitting!

1240 East Brady Street, Milwaukee, WI 53202

414-272-2144

contactus@bestd.org

Monday & Tuesday
6:00pm - 8:00pm

Legal Statement

The BESTD Clinic is a 501(c)(3) not-for-profit corporation.
Copyright Brady East STD Clinic. All rights reserved.

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