Intent to Return

Please use this form to indicate if you wish to return to the Mobile Outreach Clinic as a volunteer. Please note that this form is not a formal invitation to return as a volunteer. This form is used to identify interest in returning. Please answer as truthfully as possible. If this form is not completed by the deadline below, your spot as a Care Coordinator for the upcoming semester will not be guaranteed.

Please have this form completed by Sunday, February 26 at 11:59 p.m. 

The intent to return form has closed, please contact the program volunteer coordinator to complete this form.