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Volunteer Sign Up Form

2. Our community - especially our most vulnerable residents - needs the help of volunteers during the COVID-19 pandemic. If you would like to help, please fill out the form below. We’ll match you with local needs.
4. At this time, we are only focusing on volunteers aged 60 and under based on recommendations from health officials.
6. Volunteers will engage in a variety of activities, such as delivering meals to those in need, helping with food distribution events, shopping and delivering medications for homebound seniors and much more.
8. Thank you for offering to help our community!
10. First Name*
11. Last Name*
13. Email*
14. Phone*
16. Do you have a valid Driver's License?*

    1. Yes
    2. No
17. Do you have access to a vehicle?*

    1. Yes
    2. No
19. Do you have any medical training?*

    1. Yes
    2. No
21. Any other relevant training or skills? If so, please explain:*
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field