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MV Helps Volunteer Form
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Street Address (for matching purposes)
*
Your answer
Which city do you live in?
*
Your answer
Phone Number (just digits, no dashes etc.)
*
Your answer
Best method to reach you
*
Email
Text
Phone Call
Please list the languages you speak
Your answer
Which option works best for you?
*
Being paired up with a single high-risk individual and assisting them until the end of the social distancing period (and/or) until the individual decides they would like to stop working together?
Volunteering for multiple different individuals who are in need of help at that time
I'd like to be a single time volunteer (you are always welcome to volunteer again and change your answer)
Preferred grocery store
*
Trader Joe's
Whole Foods
Safeway
Nob Hill
Andronico's
Costco
Ranch 99
I have no preference
Other:
Required
How many people would you like to shop for?
*
One
Two
Three
Other:
Questions / Comments
Your answer
I certify that I am a low-risk individual adhering to all regulations posted by the CDC and unlikely to develop serious illness deriving from COVID-19. I agree to be contacted and receive a match by MV Helps. By submitting this form and clicking "I agree" below, I accept full responsibility for potential illness contracted while completing volunteer tasks for this organization. I will continue to practice social distancing and follow adequate health protocol as stated on our website (
https://www.mvhelps.org/
)
*
I agree
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