Community Service Program
spacerProgramsdividerStudent LeadersdividerVolunteersdividerAgenciesdividerFAQdividerAbout
 
spacerspacerspacerspacerspacerspacerspacer
Blood Drives
spacer@ Home >> Programs >> Blood Drives >> Schedule an Appointmentspacer
spacer

Schedule an Appointment on November 11

Contact Information

First name
Last name
Campus mail address Campus Box:
Off-campus mail address (Not required if you entered a campus mail address above) Street
City         State      Zip
Email address
Primary phone
Affiliation
Student group or office affiliation

Donation Information

Date of birth (To confirm eligibility; must be at least 17, or 16 with parental consent) / / (mm/dd/yyyy)
Donation location
Select a time slot to donate (Donations will take roughly 1 hour)
Have you donated blood before? Yes No

Additional Information

Residential area
Tell a friend (optional) Send an automatic email to friends encouraging them to donate blood.
First:
Last:
Email: 		First:
Last:
Email:
Reason for donation (optional) Please note that the text you submit may be used in online or printed promotional materials.
spacer
spacer
spacer
spacerbracket"I do community service because I feel that the only reason that I'm not the recipient of community service is because I was lucky. Many kinds of suffering that occur in this world are completely reasonless and due to some random spectrum of inequality. I do what I can to both decrease that spectrum of inequality and make people aware of the extremes on either end."
-Luz Silverio, 07		bracket
spacer
spacer