MyImpactPage - Clinic Volunteer Application

Organization Policies

I understand that this form is an application for and not a promise of volunteer opportunity.

I further understand that some volunteer positions require a pre-placement interview with the program manager before I can begin volunteering.

I am new to MyImpactPage.com

You will need to enter a unique username to identify yourself to the system. You should select something that is easy for you to remember such as your email address or your name. Your username must be at least 6 characters long. If the name you enter is already in use by someone else, you will be prompted to choose another username.

Username

Required

	Username must not start with space
	Username must not end with space
	Username must not have two or more spaces in a row

Email Address

Required

Verify Email Address

Required

I agree with the organization's policies Required

I already have a username

If you have signed up with this organization before, or are a member of another organization that uses MyImpactPage.com, you can use the same login to access all organizations with which you are associated.

Username	Required
Password	Required
Forgot your username or password?
I agree with the organization's policies Required

Already use MyImpactPage.com to volunteer with this organization? Go to volunteer login

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