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Volunteer Form
If you are looking for the form for people in need of deliveries please email
serviceworkerscoalition@gmail.com
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Name
Your answer
Phone Number
Your answer
Email
Your answer
Which neighborhood do you live in?
Your answer
Are you a healthy person willing to walk/bike/drive groceries to those staying at home? If you're restricted to your neighborhood please tell us which neighborhood.
Yes
No
Other:
Clear selection
Do you have access to a car?
Yes
No
Clear selection
Are you willing to purchase and deliver goods yourself (we will reimburse you if you want) or would you rather pick up goods to deliver?
I'll buy em!
I'll pick em up!
Other:
Clear selection
Please check all times you're generally available
Monday Mornings
Monday Afternoons
Tuesday Mornings
Tuesday Afternoons
Wednesday Mornings
Wednesday Afternoons
Thursday Afternoons
Friday Mornings
Friday Afternoons
Saturday Mornings
Saturday Afternoons
Sunday Mornings
Sunday Afternoons
Other:
I understand that the protocol for delivery is dropping the bag of groceries at the door of the building, texting the recipient, waiting across the street to ensure delivery, and waving!
Yes
No
Clear selection
Submit
Clear form
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