Volunteer Volunteers Full Name(Required) Volunteers UFID(Required) Volunteers mailing address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Volunteers email address(Required) Is the volunteer over the age of 18?(Required) Yes No Is this person a US Citizen?(Required) Yes No If this person is not a US Citizen, what kind of VISA do they have?(Required) Is the volunteer a UF student?(Required) Yes No If YES, are they in the lab for credit?(Required) Yes No If YES, are they volunteering due to a class requirement?(Required) Yes No If No, are they current a student at a different institution?(Required) Yes No If No, are they volunteering due to class requirement?(Required) Yes No Volunteer detailed activities will include?:(Required)Volunteer’s qualification to perform the duties listed above?(Required)What is the phone # to the lab this person will be in?(Required) What is the room # to the lab this person will be in?(Required) Will the volunteer have animal contact?(Required) Yes No Will the volunteer interact with bloodborne pathogens?(Required) Yes No Will the Volunteer work with risk group 3 agents in a BSL3 Laboratory?(Required) Yes No Will the volunteer have patient contact? (Required) Yes No Will the volunteer use pesticides? Yes No Will the volunteer complete asbestos abatement?(Required) Yes No
