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Pop-up Vaccine Clinic Survey

If you are interested in exploring being a host-site for a COVID vaccination clinic, please fill out this short survey. Organizations may host a closed site (for example, a vaccine clinic for eligible employees) or a site that is open to the community.

Please note that we are prioritizing pop-up vaccine clinics for first doses of COVID-19 vaccine. If you would like to hold a pop-up event for boosters, we may refer you to a pharmacy or other available partner.

Please only fill out this survey once. 
1. Organization Type *This question is required.
2. Are you interested in hosting a pop-up site that is open to the community, or a closed site for an organization? *This question is required.