CALL TO ACTION - COVID-19 Volunteer Survey
RequiredRequired Question(s)
Many of our Virginia Chapter, ACS members have expressed an interest in assisting with the COVID-19 response within their region and the Commonwealth. The state is urging medical professionals who want to help with COVID-19 response to register for the Virginia Medical Reserve Corp, (MRC), which is a force of dedicated volunteers who stand ready to support the community in the event of a public health emergency.  

Please visit https://vvhs.vamrc.org to complete their volunteer application.

If you plan to volunteer with the MRC, please take a moment to also complete the Virginia Chapter's brief survey below.  

The American College of Surgeons & Operation Giving Back are also collecting names of volunteers.  Visit their website for additional information. 

Questions or comments? Please contact Susan McConnell, VA-ACS Chapter Administrator at smcconnell@ramdocs.org or 804-622-8139.
 
Required 1.

Name:

 

50 characters left.
Required 2.

Practice Zip Code:

 

50 characters left.
Required 3.

Age:

30-40 yrs
41-50 yrs
51-60 yrs
over 60 yrs
Required 4.

What is your specialty?

General Surgery
Trauma / Critical Care
Orthopedics
Colorectal
Neurosurgery
Gynecology
Vascular
Otolaryngology
Surgical Oncology
Other
  • Comment:

  • 500 characters left.
5.

What kind of additional information would you like about this disease before you volunteer?

 

350 characters left.