Participant Sign-Up

Thank you for your interest in assisting with our COVID-19 vaccine clinics. Please fill out the form below.

























  • Medical programs (2nd semester first-year students and beyond)
  • Dental programs
  • Pharmacy programs (2nd semester first-year students and beyond)
  • Physician Assistants programs (2nd semester first-year students and beyond who have completed a clinical practicum)
  • Nursing programs:
    • All nursing graduate students - Master's, DNP, DNS, PHD
    • All RN to BSN students
    • Baccalaureate - 2nd semester juniors and beyond (all who have completed a clinical practicum
    • Associate - 2nd semester sophomores and beyond (all who have completed a basic skills training and a single clinical practicum
Submit