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  6. Volunteer Participation Form for the Doctor's Dilemma℠ Competition at the ACP Internal Medicine Meeting 2016

Volunteer Participation Form for the Doctor's Dilemma℠ Competition at the ACP Internal Medicine Meeting 2016

    ACP ID:

    Name:*

    E-Mail:*

    Phone:*

    Best way to contact me:*     E-mail    Phone

    Please indicate your interest in and availability for each of the volunteer roles:*

    Date and Time Judge Game Assistant Greeter
    Thursday, May 5, 2016
    2:30 p.m. to 6:30 p.m.
    Friday, May 6, 2016
    3:30 p.m. to 5:15 p.m.
    Saturday, May 7, 2016
    4:30 p.m. to 6:30 p.m.

    Please briefly describe any similar past experience (volunteer or professional): *

    * I understand that I must participate in a pre-meeting volunteer conference call in April, and an on-site volunteer training session at the ACP Internal Medicine Meeting 2016 in Washington, DC on Thursday, May 5, 2016 at 10:45 AM EDT.