Mississippi Health Advocacy Program Volunteer/Intern Request Form
Please fill in the form below if you are interested in volunteering with MHAP or obtaining an Intership.
First Name:
Last Name:
Address:
City:
State:
Zip:
Organization/School:
E-Mail:
Day Phone:
Other Phone:
Time Available:
From
to
Volunteering only
Internship only
Please check a box below next to the advocacy area you are most interested in:
Public Health;
Advocacy Marketing;
Administration;
Legislative Advocacy
Please send us a brief description of how you would like to volunteer or intern with MHAP in the box below:
