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COVID-19 Vaccination Volunteer Form

Thank you for expressing an interest in volunteering to help us provide COVID-19 vaccinations to the residents of our region. This is one of the most extensive public health programs in American history.

We greatly appreciate your desire to assist Cooper University Health Care in this very important effort.

There are a number of clinical and non-clinical roles for volunteers.

Please fill out the below form and someone will contact you with more information.

Thank you.

Clinical Roles (doctors, nurses, APPs)Non-Clinical Roles
Screener – temperature checkEscort individuals receiving vaccine
Reviews COVID-19 vaccine fact sheetSupply management
Clinical questionnairePost-vaccination observer
Administer vaccinationsDocumentation