Volunteer Form Volunteer Request To request volunteers and/or shadowing for Clinics Request Type(Required) Volunteer Clinical Shadow Physician Sponsor Name(Required) First Last Sponsor's Email Address(Required) Candidate Name(Required) First Last Candidate Email(Required) Candidate Phone(Required)Candidate Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Candidate's County of Residence(Required) Candidate's Emergecy Contact Name(Required) First Last Emergency Contact's Phone Number(Required)Emergency Contact's Email(Required) Candidate's UFID number If the candidate does NOT have a UFID, please provide a copy of either a driver's license, passport or visa documents.Max. file size: 125 MB.Candidate's Gatorlink Username(Required) Candidate's Date of Birth(Required) MM slash DD slash YYYY Candidate's Gender(Required) Candidate's Visa Type (If applicable) Candidate's Citizenship(Required) US Citizen Non-Citizen National of the US Non- Resident Alien Permanent resident What country is Candidate's Citizenship? Is the Candidate a UF Student?(Required) Yes No If this is a UF Course requiring volunteer hours, please provide course name/code.CAPTCHA
