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Get Help Get Involved Volunteer Donating Stuff Offsite Projects Planned Giving Evening of Hope Gala About Us Email from Hope Clinic Mission & Impact Partners Hope's History Take a Tour

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Licensed Medical Professional Interest Form

Are you a licensed medical professional? We’re looking for doctors, nurses, pharmacists, pharm techs, paramedics, MAs, EMTs and more. Fill out this volunteer interest form!

Email Address *

Are you currently certified / licensed? *

We are looking for licensed/ certified medical professionals to volunteer in our clinics. We are unable to facilitate observation hours in our clinics. NPs: Require a minimum of one year practical NP experience unless a prior agreement has been made with an existing clinician volunteering at Hope Clinic. NPs looking for preceptors: We are sorry but all of our clinicians are volunteers and we do not have any preceptor opportunities unless already pre-arranged with a clinician that is volunteering at our medical clinic. Please tell us which current USA license or certification you have:

Licensed Practical Nurse

Registered Nurse

Pharmacist

Pharmacy Technician

Medical Doctor

Nurse Practitioner

Physician Assistant

Emergency Medical Technician

Paramedic

Medical Assistant

Other: (Please explain in work history.)

Which Clinic(s) would you like to volunteer at? *

We have two clinics. Our Wayne clinic is open Tuesdays from 9-2 (and 5:30-8 on 3rd Tuesdays), Fridays from 9-2, and Saturdays twice a month from 8:30-12. Our Ypsilanti Clinic is open Tuesdays 8:30-5, Wednesdays 8:30-noon & 5-7:30pm, Thursdays 8:30-5, and Saturdays from 8:30-12. I am interested in volunteering at:

Wayne

Ypsilanti

I am interested in offering pro-bono services at my own facility for referrals.

Availability *

Which of the following Clinic Times would you be available to work?

Ypsilanti - Tuesdays 8:30-12

Ypsilanti - Tuesdays 12-5

Ypsilanti - Wednesdays 1:00-5:00

Ypsilanti - Thursdays 8:30-12

Ypsilanti - Thursdays 12-5

Ypsilanti - Saturdays 8:30-12

Wayne - Tuesdays 9-2

Wayne - Fridays 9-2

Wayne - Tuesdays 5-8

Wayne - Saturdays 8:30-12

A year long commitment. *

We are looking for medical professionals who are willing to make a one-year commitment. Are you able to commit to volunteering for at least one year?

Yes

Name *

First Name

Last Name

Date of Birth *

YYYY

Address *

Street Address, City, St, Zip

Phone *

(###)

###

####

Please tell us about your Relevant Work Experience. *

Please tell us about your Education and Skills. *

Church

We don't require you to be a member of a church to work with us, but if you are involved in a church we would love to know about it.

Please tell us how you heard about volunteering at Hope. *

Thank you for your application to volunteer with Hope Clinic. We will review your application, and we will contact your in about two weeks to discuss volunteer opportunities and placement.

Guest UserJuly 30, 2018

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a haven of
help + healing.

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Ypsilanti clinic

518 Harriet St
Ypsilanti, MI 48197

(734) 484-2989 Main Number

Hours:
M-F 9:00 a.m. - 4:00 p.m.
Saturday 9:00 a.m.–12 p.m.
Closed Sunday

wayne clinic

33608 Palmer Rd
Westland, MI 48186
(734) 710-6688

Hours:
Tuesday/Friday: 9:00 am to 2:00 pm

Fourth Tuesdays: 9:00 am to 12:00 pm, 1:00 pm to 4:00 pm

Alternating First Saturdays: 8:30 am to 12:00 pm

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info@thehopeclinic.org

Hope Clinic

518 Harriet Street,

Ypsilanti, MI, 48197,

United States

7346449474 bkangas@thehopeclinic.org

Hours

Mon 8:30am - 5:00pm

Tue 8:30am - 5:00pm

Wed 8:30am - 5:00pm

Thu 8:30am - 5:00pm

Fri 8:30am - 5:00pm

Sat 8:30am - 11:00am

Sun Closed

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Licensed Medical Professional Interest Form

a haven of help + healing.

Ypsilanti clinic

wayne clinic

Helpful Links

a haven of
help + healing.