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2025 MaryAnn Black Summer Internship Program Presenter/Proctor/In-Person and Virtual Volunteer Form. Please fill out before or by May 31, 2025.

Name:

Job Title:

Department Name:

Supervisor Name:

Please check all that apply. I am interested in being a:

Volunteer Presenter
Volunteer Proctor
In-person Volunteer
Virtual Volunteer

Your Location:

Mailing Address:

Phone Number:

Email Address:

Presenters: Please give a brief description of the healthcare or supportive healthcare career you will be presenting:

Presenter obligations are 30 minutes. Proctor obligations are 1 hour. Once I receive your form I will contact you to review your information and answer any questions you may have. You may sign up for more than one volunteer opportunity. The program runs from July 7th through July 25th between the hours of 8:30 am to 12:30 pm, Monday through Friday. Thank you for your interest! For more details call Darla Wohlfarth: 984-312-5973 or email Darla.wohlfarth@duke.edu THANK YOU!