Request for Flood Response Volunteers / Solicitud de Voluntarios para ayuda con las Inundaciones 
Please fill out this form if you'd like volunteers to come help you with clean-up after the flood or any other support. / Complete este formulario si desea que los voluntarios le ayuden con la limpieza despuès de la inundaciòn o si necesita otro tipo de apoyo. 
Sign in to Google to save your progress. Learn more
Contact Person's Name / Nombre de la Persona de Contacto. 
Contact Person Phone Number / Numero Telefònico de la Persona de Contacto. 
Contact person email / Correo Electrònico de la Persona de Contacto.  
Name of your business or organization / Nombre de tu Negocio ò organización.
Address for volunteers to report to / Direcciòn donde los voluntarios se van a reportar. 
What do you need help with (select all that apply)/ ¿Què ayuda necesita? (seleccionè todo lo que aplique). 
What day and times do you need volunteers? / ¿Qué día y hora necesita ayuda de los voluntarios? 
10am -1pm
1pm -4pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you want volunteers to bring supplies (such as shovels)? If yes, please list what you need. / ¿Quisiera que los voluntarios traigan herramientas (como palas)? Si respondio SI, por favor liste lo que necesita.
Do you have flood insurance? /¿Tiene seguro contra inundaciones?

IMPORTANT: **If you have insurance take pictures of everything before you start cleaning up. Also, keep all receipts for supplies, cleanup, repairs, as well as food, and lodging, etc.**

IMPORTANTE: **Si tienes seguro toma fotos de todo antes de empezar a limpiar. Además, guarde todos los recibos de suministros, limpieza, reparaciones, así como alimentos, alojamiento, etc.**
Clear selection
We are partnering with different organizations to provide resources to your community. Please choose any services you may need:

Nos asociamos con diferentes organizaciones para proporcionar recursos a su comunidad. Elija los servicios que pueda necesitar:
*
Required
A member of our team will contact you shortly to go over your answers and discuss next steps. Thank you for your time.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Volunteer Center of Santa Cruz County. Report Abuse