Event Sign Up Sheet | Track It Forward

Transportation Opportunity!

Tuesday, December 20 2022

Goal: Agnes to get her Polio vaccine (required by school)
Date: 12/20/2022
Number of individuals to be transported: 1 (*2 volunteers are needed)
Client name(s): (1) Agnes;
DOB: NA
If appointment is for a child, Parents’ name: N/A
Parents’ DOB: NA
Client’s Phone: 585-557-0086/ 585-557-0288
Language(s): Kinyabwisha/ Kiswahili
Appointment pick-up time: 9:30 AM
Appointment time: 10:00 AM
Appointment Location: Center for Refugee Health
Address: 222 Alexander St., 4th Floor, Rochester, NY 14607
Provider: Rochester Reginal Health
Client needs to bring: Medicaid cards
Type of appointment: Vaccination
Estimated duration of appointment: NA
Estimated total time volunteering:
Note: any future updates, please call Yam @ 585-371-8382
WR Contact: Elisabeth Stojkovic– (585) 622-4336
Pick up and drop off location (School): Rochester International Academy (RIA)
located at: 1 Edgerton Park, Rochester, NY 14608
Ph# (585) 324-5250

Additional Details & Instructions:
1. Please wear your World Relief lanyard
2. Contact the Volunteer Coordinator if you encounter any issues.
Please track your volunteer hours using the Track It Forward tool online and list the name of the client you assisted in the Comments/Notes section.

9:30am - 12:00pm
Transportation Team
Goal: Agnes to get her Polio vaccine (required by school) Date: 12/20/2022 Number of individuals to be transported: 2 Client name(s): (1) Agnes; DOB: NA If appointment is for a child, Parents’ name: N/A Parents’ DOB: NA Client’s Phone: 585-557-0086/ 585-557-0288 Language(s): Kinyabwisha/ Kiswahili Appointment pick-up time: 9:30 AM Appointment time: 10:00 AM Appointment Location: Center for Refugee Health Address: 222 Alexander St., 4th Floor, Rochester, NY 14607 Provider: Rochester Reginal Health Client needs to bring: Medicaid cards Type of appointment: Vaccination Estimated duration of appointment: NA Estimated total time volunteering: Note: any future updates, please call Yam @ 585-371-8382 WR Contact: Elisabeth Stojkovic– (585) 622-4336 Pick up and drop off location (School): Rochester International Academy (RIA) located at: 1 Edgerton Park, Rochester, NY 14608 Ph# (585) 324-5250 Additional Details & Instructions: 1. Please wear your World Relief lanyard 2. Contact the Volunteer Coordinator if you encounter any issues. Please track your volunteer hours using the Track It Forward tool online and list the name of the client you assisted in the Comments/Notes section.
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Contact the event organizers: Elisabeth Stojkovic