Volunteer Interest Form
Thank you for helping your community get tested for COVID-19. Volunteers will be provided with appropriate PPE and be trained on protocols to ensure the safety of volunteers, staff and individuals getting tested. Following submission of this form a staff member will follow up with you if/when your assistance is needed.
Sign in to Google to save your progress. Learn more
First and Last name *
Email address *
Phone number *
I can confirm I have no COVID-19 symptoms which may include: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and/or diarrhea *
Required
I can confirm I have not been exposed to anyone with COVID-19 symptoms or anyone who has tested positive for COVID-19 in the past 10 days. *
Required
Age confirmation *
Required
I am fluent in a language other than English
Please list credentials (if any) and organization affiliation.
I can volunteer as (you may chose more than one) *
Required
Please add my name and contact information to a list for organizer's to pull from for volunteers at future testing events. *
Required
Please include any questions you may have below.  
Next Steps
Your information will be stored for future testing event opportunities. A staff member at an event may reach out to you to verify your credentials and follow up on next steps. By submitting this form you agree to be contacted via phone number and/or email. Volunteers must submit their interest at least 48 hours previous to the testing event to provide adequate time for follow up from the organizer.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Chattanooga. Report Abuse