Health Equity Hubs | Care. For Every Zipcode.

Personal Information

First Name *

Last Name *

Email *

Phone *

County *

Zip Code

Skills & Background

Primary Skill Area *

Current/Recent Occupation

Professional Credentials (if any)

Languages Spoken

EnglishSpanishOther

Do you have healthcare experience?

YesNo

Availability

Background Check

Required for roles involving direct contact with vulnerable populations.

Are you willing to undergo a background check?

Tell Us About Yourself

Why do you want to volunteer with Health Equity Hubs?

How did you hear about us?

Agreements

I confirm that the information provided is accurate *I understand I will need to complete training before serving *I agree to the Volunteer Code of Conduct *