The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

qUd7HvyIpAjr8VGsoZjiWFUjsdCqhABJsD5cGjZHgcFSNAQx8hbxYyj9dm2gN5murogFxRPFk5RjjBDCXjZDsiaaUts2TqDscrdHXczu2aqFA8Zrx

Interprofessional Student Volunteer Corps Intake Form

Thank you for your interest in engaging student volunteers with your program at your organization.

The Interprofessional Student Volunteer Corps (ISVC) is a health professional student-initiated and student-led group, which aims to address the needs of Baystate Health (BH) employees and community members in BH service areas, in response to the COVID-19 pandemic.

Your responses to this intake form will help give us a better idea for how students can participate to serve your program's needs.

Please note: Submitting a request for volunteers does not guarantee students will be able to fill any or all roles that are required for your program, as participation is dependent on student avaialbility and educational requirements.

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