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Our services are completely free. We offer comprehensive STD/HIV services to men and transgender/gender non-conforming individuals. We offer only HIV testing for women, and are happy to provide resources to women looking for other sexual health services.

Volunteer Application

Your Information

First Name

Last Name

Address

Email

Phone

Your Background

Current Employer

Occupation

What are your normal work hours?

List any languages you are fluent in other than English

Availability

Weekly Availability * Required

Monday Evening

Tuesday Evening

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

Yes

No

Experience

Do you currently volunteer at another agency?

Yes

No

Please list agencies where you currently volunteer

How did you hear about the BESTD CLINIC?

Tell us you main reason or motivation for wanting to volunteer at the BESTD Clinic

Please note any degree programs, field(s) of study, expertise, talents, skills or interests that you could share with BESTD as a volunteer?

Note any additional information you would like to provide

Experience (Health Care Professionals Only)

What medical training/degrees do you have?

Licenses you currenty hold

Have you completed OSHA blood born pathogen training?

Yes

No

Have you had a Hepatitis A & B vaccination?

Yes

No

If yes, what year

Recent TB Test?

Yes

No

Emergency Contact

Emergency Contact Name

Emergency Contact Phone Number

Relation to 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

Date * required

Your Signature

Thanks for submitting your application. The review team will reach out if your skills meet our current clinic needs at this time. If they do not, we will keep your application on file and reach out in the future as new opportunities or openings arise.

1240 East Brady Street, Milwaukee, WI 53202

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

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