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2. We are celebrating the 16th Anaheim Health Fair with our founding partners GBS Linens, Inc., Anekant Community Center, City of Anaheim and Lestonnac Free Clinic. This year, the health fair will be held on Saturday, November 12 and Sunday, November 13, 2022 from 8:00 am - 2:00 pm.

   We look forward to having you participate in our Health Fair. We will serve Breakfast and Lunch on both days, and dinner on Friday to all volunteers. Free parking will also be provided. Please complete the form below. Thank you for your interest and we look forward to having you this September.

   VOLUNTEER OPTIONS:

   Friday, November 11 from 2:00 pm - 8:00 pm (Only for Setup and is optional)

   Saturday, November 12 from 6:00 am - 6:00 pm

   Sunday, November 13 from 6:00 am - 6:00 pm

   (*) below means that entry is required.

4. First Name*
5. Last Name*
7. Email*
8. Phone Number*
12. Background Information
14. We need all volunteers to be vaccinated against COVID-19. Please confirm your vaccination status below:*

    1. Yes
    2. No
16. What languages can you speak? (Please check at least one)*

    1. English
    2. Spanish
    3. Vietnamese
    4. Other
18. Other languages you can speak:
20. Are you a

    1. Medical Doctor
    2. Medical Professional
    3. General Volunteer
22. If you’re a Medical Doctor or Medical Professional, what is your area of specialty?
24. Organization/School (if any)*
    -- Select One --ABC Adult SchoolBlue ShieldBoy ScoutsBrea Olinda High SchoolBuena Park High SchoolCal State FullertonCal State Long BeachCalifornia Baptist UniversityCBD CollegeCedars-Sinai Medical CenterCentennial High SchoolCerritos CollegeCerritos High SchoolChapman UniversityChicanos/Latinos for Community MedicineCongressman Lou Correa OfficeCypress High SchoolDiamond Bar High SchoolEsperanza High SchoolFullerton CollegeHerbalifeJain Center of Southern CaliforniaKatella High SchoolKeck Institute-School of PharmacyLestonnac Free ClinicMedical, EducationMissions and Outreach (MEMO)Mount Saint Mary's UniversityNORCOP-North OrangeCounty Regional Occupation ProgramNorthwestern Feinberg School of MedicineNorthwood High SchoolOCAPICA-Orange County Asia-Pacific IslanderCommunity AllianceOrange County Engineering CouncilRaney IntermediateSanta Ana CollegeSanta Fe High SchoolSouthern California DermatologySouthern California University of Health SciencesSt Justin Martyr SchoolTroy High SchoolUC IrvineUCLAUC RiversideUniversity of La VerneUniversity of San DiegoUSC College Prep High SchoolCA Long BeachWestern University of Health SciencesWoodbridge High SchoolOther
26. Other Organizations
28. Have you volunteered at a previous Health Fair?*
30. If yes, what were your responsibilities?
34. What days can you volunteer?

    (There will be plenty of opportunities for breaks, however your commitment for the entire day is needed and highly appreciated).

36. Can you volunteer on Friday, November 11 from 2:00 pm - 8:00 pm? This is purely needed for setup.*

    1. Yes
    2. No
38. Can you volunteer on Saturday, November 12 from 6:00 am - 6:00 pm?*

    1. Yes
    2. No
40. Can you volunteer on Sunday, November 13 from 6:00 am - 6:00 pm?

    1. Yes
    2. No
42. Comments?
45. Additional Info

    Volunteers will receive an email with more information by Monday, November 7, 2022. If you have further questions, please contact Alyssa Guerrero (714) 765-4610 or alguerrero@anaheim.net.

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field