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Welcome to the Emory Physician Assistant Program -  Volunteer Interest form

  Enter your posting directly in the form below - use security code 1462 to prevent spamming, Click Submit when finished.

In an effort to reduce "spam" posted by "robots" through this form, we have added a Security Code to the form. Please use 1462 for the Security code.

 

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List any languages you speak other than English and your level of proficiency in those languages

Would you feel comfortable serving as a medical interpreter in the language(s) you are proficient in?”  - Yes or No

Please list  your medical skills and credentials


 

What dates are you available?

Week 1: Bainbridge, GA                           June 15-22, 2012

Week 2: Valdosta/Lake Park, GA               June 22-29, 2012


Please briefly describe any past volunteer experience that may be helpful


Please list why you want to volunteer (ie are you seeking a medical career, PA program....) add any other comments Please do not use "@" or " /" symbols in this text box, as they will be rejected.


Please provide the following contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Cell/Home Phone
E-mail

Date  :  

Please click on "Submit" only once.

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Contact Us
Physician Assistant Program
1462 Clifton Rd N.E. Suite 280
Atlanta GA 30322
Phone: (404) 727 -7825 (General Info)
Phone: (404) 727-7857(Admissions)
Email:
 Info@EmoryPA.org

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