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5323 Foothill Blvd, Oakland, CA 94601
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HEPPAC
HIV Education & Prevention Project of Alameda County
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Organization
About us
Testimonials
Our Team
Services
Syringe Access Program
HEPPAC Drop-In Center
Helpful & Working Harm Reduction Strategies
Community Outreach (Mobile Harm Reduction Services)
HIV & HCV Screening and Health Care Access
OPEND: Overdose Prevention and Education
Black Drug Users Health HUB (B-DUHB)
East Bay Drug Checking (EBDC)
Volunteer
Join Our Team
News
Contact
Donate
Home
Organization
About us
Testimonials
Our Team
Services
Syringe Access Program
HEPPAC Drop-In Center
Helpful & Working Harm Reduction Strategies
Community Outreach (Mobile Harm Reduction Services)
HIV & HCV Screening and Health Care Access
OPEND: Overdose Prevention and Education
Black Drug Users Health HUB (B-DUHB)
East Bay Drug Checking (EBDC)
Volunteer
Join Our Team
News
Contact
Volunteer Application
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Volunteer Application
Volunteer Application
Volunteer Application
HIV Education Prevention Project of Alameda County Volunteer Application
Name
*
Best Phone Number to Reach You
*
Email Address
*
Are you 18 or older?
*
Yes
No
Are you a student?
*
Yes
No
If yes, please provide your educational institution and expected graduation date:
If currently employed, what is your occupation?
What is your availability for volunteering? (Please select all that apply)
*
Monday 10AM - 3:00PM
Tuesday 10AM - 3:00PM
Wednesday 10AM - 3:00PM
Friday 10AM - 3:00PM
Are you available for occasional weekday evenings or weekends?
*
Yes
No
How did you learn about volunteering at HEPPAC?
*
Referral
Social Media
Website
Event
Other
If "Other", (Please specify):
In case of emergency, whom should we contact?
*
Phone
*
Relationship to you:
*
Have you volunteered before?
*
Yes
No
If "Yes", please describe previous volunteer experience:
Please rate your comfort level and experience working with individuals facing physical, mental, or emotional challenges, especially those impacted by illness or treatment, and those from diverse cultural or socioeconomic backgrounds:
*
Very Comfortable / Experienced
Comfortable / Some Experience
Neutral / Limited Experience
Uncomfortable / No Experience
Please describe any relevant experiences or thoughts you have regarding how these challenges shape your approach to supporting others:
Please rate your knowledge of HIV/AIDS:
*
excellent
fair
minimal
Please rate your knowledge of Harm Reduction:
*
excellent
fair
minimal
Please share any personal or professional skills or experience you are willing to offer HEPPAC (e.g., health education, outreach, research, administrative tasks, graphic design, etc.):
Why do you want to volunteer with HEPPAC, and what are your goals for your volunteer experience?
*
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