BRIDGE Healthcare Clinic

VOLUNTEER SIGN-UP FORM (2008-2009)
Open to MSI, MSII, MSIII, MSIV students and Physicians

DIRECTIONS
1. Register on our registration site. You will then be redirected to this site to sign-up for one of the available clinic dates.
2. Once you have registered your information, peruse the volunteer openings for the clinic dates below.
3. Select a clinic date on which you would like to volunteer.
4. Enter the email address you used to register with us and click Submit.
5. After you click Submit, this page will automatically refresh and your name will appear next to the clinic date you chose when you have successfully signed up.

IF YOU ARE A RESIDENT, and not licensed and board certified in FL, please ensure you sign up only for dates on which there is already an attending from your specialty (IM or FM).

If you run into any problems, please notify Jane Pak.
If you cannot make it on a date you've previously signed up for, please let Nina Swadener know.

SIGN UP

CLINIC DATE:
Jan 27th is our 'GYN night'.
We will have well-women visits that night.

EMAIL:
This is a case sensitive application. Please enter your email address EXACTLY as you entered it when you registered.

	co2011 - Two	co2008-2010 - Two	Physicians - Two Attendings (1-2), Resident (1)
10/7/08
	co2012 - Two	co2009-2011 - Two	Physicians - Two Attendings (1-2), Resident (1)
10/14/08
10/21/08
10/28/08
11/4/08
11/18/08
12/2/08
12/9/08
12/16/08
1/13/09
1/20/09
1/27/09