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New Volunteer Form
Thanks for your interest in volunteering with Social Distance Delivery! Please fill out this form and we will reach out to you shortly.
Email *
Full Name *
Phone Number *
Email Address *
What region do you wish to volunteer in? *
If you chose DMV, what town do you reside in? Otherwise, please enter N/A
Do you have access to a car? *
Do you have access to gloves and masks? *
Are you able to commit to completing at least one grocery delivery every 2 weeks? *
How did you hear about us? *
Which current volunteer referred you?
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