Volunteer Intake Form
Thank you for your willingness to volunteer with the MS Rapid Response Coalition.   The Mississippi Rapid Response Coalition (MRRC) is a coalition of over thirty organizations and individuals coming together to mobilize Mississippi communities to provide rapid response support in times of crisis, whether the crisis is caused by disaster natural or infrastructure failures. The Coalition is led by the People's Advocacy Institute, Mississippi Poor People's Campaign, One Voice MS, Southern Poverty Law Center, Immigrant Alliance for Justice and Equity (IAJE), Alternate ROOTS, Mississippi Moves, Operation Good, Strong Arms of Mississippi, Mississippi Black Women's Round Table and over thirty partner organizations.

We are currently seeking volunteers to assist with relief efforts for communities in the MS Delta that were impacted by the recent Tornado and severe storms.  

Please complete this entire form, you will be contacted within 48 hours. If you have any questions, please email us at rapidresponse@peoplesadvocacyinstitute.com. 
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First Name *
Last Name *
Phone Number *
Email Address *
City, State, Zip Code *
What types of volunteer work are you interested in? (Please choose all that apply) *
What date are you available to start volunteering? *
Below is a list of areas impacted by the recent tornadoes and sever storms.  Please indicate which location you would like to volunteer. 
Clear selection
When are you available to volunteer (starting the day you listed above)? All times are in Central Standard Time Zone *
Not available
8am - 9am
9am - 10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
5pm - 6pm
6pm - 7pm
7pm - 8pm
If you selected HOTLINE are you able to take overflow calls during peak hours outside of your shift time? (Tell us when you are flexible in "OTHER")
Clear selection
Are you a student and need community service hours signed off? *
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