JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19 Volunteer Form
Thank you for making a difference to help combat COVID-19 in our community!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Date of Birth
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Please select all duties that you are willing to assist with:
*
Traffic Control
Security
Wellness Checks
Assisting Shelters
Administrative Tasks
Delivering Meals
Donations Distribution
Running Errands
Community Mask Making
I'd like to help but I can ONLY volunteer from my home
Required
Do you have any special skills or training that may be helpful to the Fairbanks Community Emergency Response Team in responding to community needs for COVID-19? (medical background, public relations, education, etc.)
*
Your answer
Please let us know your availability to volunteer during the COVID-19 pandemic (days of the week, certain hours, etc.) M-F, 1:00-4:00
*
Your answer
I'm interested in learning more about the Fairbanks Community Emergency Response Team that responds to wildfires, public health issues (like COVID-19), or other disasters.
*
Yes
No
I'm interested in learning more about other Fairbanks Area Citizen Corps volunteer opportunities (ex: patrol and training support team)
*
Yes
No
Date Submitted
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
