Volunteer Application Packet Print E-mail

All Volunteers and Interns must complete a Volunteer Application Packet.

If you are applying to volunteer or intern in prevention and testing, return your packet to Kelly Ross-Davis.  You may email (complete and scan documents), in person (place in bin outside Room 188), or by mail.  (See contact information below.)

If you are applying for a Social Work internship, please return your packet to Kathy Gaddis, Coordinator of Social Services.

Forms and Resources:

• Volunteer General Packet (MS Word format)
• HIPAA Training Module - use this to complete the HIPAA Quiz in the packet (PDF format)
• 1917 Database Form (PDF format) and Confidentiality Agreement Form (PDF format)

Please be sure to complete ALL paperwork. 

Note:  If you have completed HIPAA training at UAB, please include your certificate or other evidence of training (available on your Blazer Net) in place of the HIPAA Quiz.

For more information or to submit your application:

Kelly Ross-Davis, MS, Education Director
UAB 1917 Clinic
Community Care Building 188
908 20th Street S.
Birmingham, AL 35294-2050
Email:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Phone: (205) 934-9253