Daring to Care Summer 2023 Application

Daring to Care Summer 2023 Application

Student Name/Parent or Guardian Name

Entering Grade

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Student & Parent/Guardian Phone Number

Describe what interests you about Daring to Care.

School

Mailing Address(Street/P.O. Box, Town, State, Zip)

What medical profession(s) are you interested in?

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Other - describe

How did you hear about Daring to Care?

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List three words that describe yourself.

If yes, please describe previous experience.

What else would you like us to know about you?

Do you have any volunteer experience? Yes/No

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What are your other summer commitments?

Select

Why do you want to volunteer?

Send me a copy of my responses

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