GMHC Member Application Fall 2014
Thank you for your interest in the Gay Men’s Health Collective (GMHC)! The GMHC, a division of the Berkeley Free Clinic, was founded in 1976 to provide free, non-judgmental STI services to gay men in a time when alternative sexual practices were still heavily stigmatized by the medical community. Today, the GMHC continues to care for our own but have also expanded our services for all male-bodied individuals. Because of our history and our desire to maintain a safe space, we ask that our volunteers identify as gay or bisexual males. Every year, we do a training for volunteers interested in becoming members and medics within our collective. This application will only be for membership. Medic applications will be given to those who complete the member training.

Member Privileges
Members are eligible to work in non-medic volunteer roles, and have full voting rights. Membership training occurs in the Fall 2014. You also need to be a member to apply for medic training.

Medic Privileges
Medics provide direct service to clients of the GMHC. To undergo medic training, you must have completed the membership training. Medic training will occur in Spring 2015. Medics must be at least 18 years old to apply for medic training.

These following questions are designed to help us gain insight into you as a person. We are interested in your personal experiences and reflections; we do not have preconceived in mind!

We also request submission of a personal photo along with your application.  This will help the members of the Training Collective better associate each application with its respective prospect, as your application is reviewed.

APPLICATION DEADLINE: Friday, September 26, 11:59PM.
NOTE: We recommend you write your responses in a word processor and then copy them into the application!

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Name *
Address *
Phone Number *
Email Address *
Sexual Orientation *
Languages You Speak *
Tell us about yourself! This could include your personal background, any barriers you have overcome, socioeconomic status, culture, race, ethnicity, sexual orientation, education, training, life or work experiences, and future ambitions. Please also include future plans and commitments you may have in the next 1.5 years. *
(3000 Characters Maximum)
Why do you want to volunteer and what do you hope to gain from your time volunteering with the GMHC? *
(1000 Characters Maximum)
Do you have any experiences with the Berkeley Free Clinic or the GMHC that you would like to share with us? How have these experiences informed your decision to apply? *
(1000 Characters Maximum)
Reflect on your history working with groups of people. What does being a part of a collective mean to you? *
(1000 Characters Maximum)
Describe a time you suspended your personal beliefs to connect with someone. *
(1000 Characters Maximum)
What concerns do you have working with people with special situations like homelessness, HIV infection, or drug addiction and how would you manage these concerns? *
(1000 Characters Maximum)
What other fabulous things would you like us to know about you? *
(1000 Characters Maximum)
Are you interested in becoming a medic as part of the 2015 training cycle? *
(You can always change your mind!)
Training Schedule
The current schedule is:
October 5: Points of Unity
October 12: PEP/Employee Health
October 19: Building Security, Disaster Recovery
October 26: Collectivity - Being a Better Clinic Member
November 2: Internal Referrals/Funding/Power and Privilege
November 9: Trans 101

Classes start at 9AM and end at 3PM on the days above.
Are there any scheduling conflicts the Training Collective should be aware of?
Photo for identification purposes
Some of us are better with faces than names. We request that as a part of your application, you submit a portrait photo to coords_gmhc@berkeleyfreeclinic.org with your name in the subject line.
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