Volunteer Contact Form, Vaccine Testing Center, College of Medicine, UVM

Contact Information

*Name:

*Email

Home Phone:

Cell Phone:

*Please note all outgoing UVM phone calls appear on caller ID as: 802-656-9999

Sometimes it may be convenient for us to text message you from our Vaccine Testing Center email account. In order to do this, we need to know your cell phone carrier.

May we contact you via text messaging?

Yes
No

Are you willing to share your phone carrier?

Yes
No

If yes, which carrier:

*Note: Depending on your phone plan, message and data rates may apply. VTC is not responsible for any charges incurred under your cell phone plan.

Study/studies you are interested in:

Best time to reach you (Check all that apply:)

9:00-11:00am
11:00am-1:00pm
1:00-3:00pm
3:00-5:00pm