Volunteer Group Request


If you are a group of 5 or more, please complete this Group Request Form.

 

Please note that our volunteer sessions are Tuesday - Saturday. 

 

In the "Additional Comments" section below, please provide the following information:

 

1. Specify what city you want to volunteer (San Leandro, CA, Decatur, GA or Secaucus, NJ). 

2. A preferred date as well as 1-2 alternatives

3. Preferred time (9am-12pm or 1-4 p.m.). 

4. If your group has volunteered with MedShare before 

5. If applicable, please indicate your teams department

 

MedShare relies on the thoughtful financial support of our community. Please let us know if your group has a budget that can include a gift to advance our global health mission.

 

If your organization wants to host a Clean Birthing Kit event to support moms and newborns around the world, please contact our team at sponsor@medshare.org 

 

 
Group Name:*
 
Group Contact Person Last Name:*
 
Group Contact Person First Name:*
 
Group Contact Person E-mail:*
 
Group Contact Person Phone
(719-111-2222 or 719-111-2222 x345):*
 
Desired Group Participation Level:*
Approximate Group Size:*
 
Additional Comments: