COVID Vaccination Volunteering 2.0

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While we are blessed and grateful that the COVID vaccine is now available, we know there are many challenges with securing appointments and getting to appointments. Please fill out this form to add your name to the list of people who are volunteering to help others get information and make appointments. Thank you!

PLEASE NOTE: The need for appointment support is time-sensitive. Please fill out this form only if you are able to be responsive and reach out to your assigned individuals within 12-24 hours of receiving their information.

First Name *

Last Name *

Email *

Phone number *

What type of support are you able and willing to provide? (Please check all that apply, and note that we have not committed to provide escort support. We are asking this question to see if volunteers are comfortable doing so.) *

Helping people access and understand vaccine information (by phone or Zoom)

Making appointments (on-line or by phone)

Escorting people to or from appointments -- Walking

Escorting people to or from appointments -- by taxi or in someone else's car

Driving people to or from appointments in my own car

Other:

Required

What city do you live in? *

Manhattan

Brooklyn

Bronx

Queens

Other:

What is your zip code? *

What is your volunteering capacity? (hours per week) *

up to 5 hours available

5-10 hours available

10-15 hours available

more than 15 hours available

Other:

Please indicate any languages, other than English, in which you would be able to assist people to make appointments. *

Spanish

French

Arabic

Yiddish

None

Other:

Required

Are you a BJ member? *

Yes

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