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COVID-19 Vaccine Clinic Call for Volunteers

  1. We anticipate s town wide launch of a vaccine clinic in phases two and three of COVID-19 Vaccine Distribution. This is a big undertaking. We will need medical professionals, administrative assistance, greeters, observers, logistics or supply help and drivers. Please use the following form to volunteer your time and talents and we will be in touch with you if we can use your help. **Please be aware, we may not be able to use everyone who volunteers. We will have to staff the clinic based on vaccination status, availability, and training. *Required

  2. Interests/Abilities*

    Check all that apply

  3. Have you been vaccinated for COVID-19?*

  4. CORI Form

    (**Please note a copy of a government-issued photo identification needs to be included to process a CORI. A copy can be submitted with your paperwork, or if returned in person a copy can be made at the Wilbraham Town Hall**)

  5. Leave This Blank:

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