covid-atlanta — Just One Technology

Atlanta Referral Form

Please fill out this form if you are interested in a paid role to support the COVID testing efforts at the below sites in Atlanta, Georgia.

Every helping hand counts.

Name

First Name

Last Name

Phone Number

Email Address

Please enter a valid email address.

Referred by

Please select the Atlanta location where you would like to participate

Specialty

What languages can you speak?

Please separate multiples with a comma.