Volunteer at a COVID-19 Vaccine Site

The AKHB & IHPA is registering Ismaili health care volunteers to staff vaccine administration sites across the US on behalf of the Jamati Institutions. Registration is open to all Ismaili healthcare profession students and Ismaili health care professionals including physicians, advanced practice providers, nurses, dentists, pharmacists, medical assistants and others. Your ability to volunteer for specific roles will be determined by your respective state’s regulations at the time of the event.

Please note, details are rapidly evolving. You will be contacted by local teams within your state regarding details, available shifts and to confirm your availability.

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Forum Description

Please note, details are rapidly evolving. You will be contacted by local teams within your state regarding details, available shifts and to confirm your availability.

Volunteer Name* First Last
Email Address*
Phone Number*
Date of Birth* MM DD YYYY
Region*
City*
State*
Do you have a valid license for your primary occupation within the state you reside?*
Would you be willing to administer vaccines, if allowed by your state regulations, under the appropriate supervision?*
Would you be willing to perform tasks other than administering vaccines at a vaccine site with the appropriate supervision and/or training?*
Would you be willing to travel within your state or neighboring states if needed?*
EmailThis field is for validation purposes and should be left unchanged.