Women's Reproductive Health -- Feminist Women's Health Center

Cliff Valley Clinic • Division of Reproductive Medicine • Community Education & Advocacy Network (CEAN)
1924 Cliff Valley Way, Atlanta, GA 30329 • Clinic: 404-728-7900 • 1 (800) 877-6013 • CEAN/Administrative: 404-248-5445

Photo montage of young women with caption "Leading. Educating. Advocating."

Become a Volunteer

Please fill in this questionnaire, including your interests and skills. We will utilize this information to determine the best placement for your work experience here at FWHC. Items in red with an asterisk (*) are required.

* First Name

* Last Name

* Address line 1

* City

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* Zip code

* email address
(We promise not to give your email address to anyone else!)

*Phone number

Home Work Mobile

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Home Work Mobile

List any schools you attend or other affiliations, including organizations requiring community service or internships.

How did you find out about Feminist Women's Health Center?

Do you want to participate in a specific volunteer opportunity?

What type of work are you interested in?

When are you available to start?

* Indicate which days of the week and what times you will be available.
Day	Times Available
Monday		Not available
Tuesday		Not available
Wednesday		Not available
Thursday		Not available
Friday		Not available
Saturday		Not available
Sunday		Not available

Please check all skills that pertain to you

Word Processing
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Secretarial Skills

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Anything else you'd like us to know?

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Feminist Women's Health Center
Cliff Valley Clinic * Division of Reproductive Medicine * Community Education & Advocacy Network (CEAN)
1924 Cliff Valley Way, Atlanta, GA 30329
Clinic: 404.728.7900 or TollFree 800.877.6013
CEAN & Administrative: 404.248.5445

The Feminist Women's Health Center is a member of Georgia Shares, an employee giving program.