STUDENT VOLUNTEER APPLICATION
Community-Campus Partnerships for Health 15th Anniversary Conference
Community-Campus Partnerships as a Strategy for Social Justice
April 18-21, 2012, Westin Galleria Hotel - Houston, TX USA
Directions: Please remember to save this form to your computer before beginning to fill it out. To add text, type in the shaded boxes; they will expand as you type. To use check boxes, click on any of the applicable shaded boxes.
Please return via email by March 26th, 2012 to Kelly Wescottat
Name:
School:
Cell Phone:
Email:
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Typical volunteer assignments will be to serve as room monitors or notetakers during sessions, collecting evaluations, or accompanying a group of participants on community site visits. Students need to volunteer at least one time block on the day(s) they wish to attend the conference. In return, you willbe able to attend the conference, including breakfast and lunch, for free that day!
Please check the times you are available to volunteer (if you choose a time block, we need you to be there the entire time). You may view the conference agenda, including session topics, at . We will do our best to accommodate all requests and applications, but can not guarantee certain times or days. We will send notification of applicant status and confirmation of available days/times in early April.
Wednesday, April 18th
12:30 pm – 5:00 pm –ROOM MONITOR(*fyi-lunch at 12, opening reception at 5:30pm)
Thursday, April 19th
10:00 am – 12:00 noon - ROOM MONITOR(*fyi-breakfast starts at 7:30, lunch at 12)
1:00-3:00 pm - ROOM MONITOR(*fyi-lunch starts at 12)
3:00 - 5:00 pm - ROOM MONITORFOR ISSUE THRASH (*fyi-lunch starts at 12, reception at5:30 pm)
Friday, April 20th
6:45am – 8:30 am - ROOM MONITOR FOR ROUNDTABLE (*fyi-breakfast starts at 7:00, lunch at 12:15)
8:15 am – 10:15 am - ROOM MONITOR (*fyi-breakfast starts at 7:00, lunch at 12:15)
10:15 am – 12:15 pm - ROOM MONITOR FOR ISSUE THRASH(*fyi-breakfast starts at 7:00, lunch at 12:15)
12:00pm– 5:30 pm – GROUP LEADER FOR SITE VISIT (*fyi-breakfast starts at 7:00, lunch at 12:15)
Saturday, April 21st
8:00 am – 10:00 pm - ROOM MONITOR(*fyi-breakfast starts at 7:30, closing lunch at 12)
10:00 am – 12 noon - ROOM MONITOR (*fyi-breakfast starts at 7:30, closing lunch at 12)