Good Neighbor Volunteer Form

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Sign up to do wellness check-in calls to seniors in our community from the comfort of your own home! This is a great opportunity to help people in need right from your own home. We will send you everything you need--training documents, FAQs, and a link to get started calling right away!

Email *

First Name *

Last Name *

Phone (10 digits only -- with area code) *

Zipcode *

Have you ever used Virtual Phone Bank (VPB) before?

Yes

Clear selection

Languages I speak: *

I speak _____ fluently

I speak _______ a little

I do not speak ______

English

Mandarin Chinese

Spanish

Hindustani

Arabic

Russian

Malay

Bengali

Portuguese

French

German

Polish

Other

If you indicated above that you speak another language, what is it and how fluent are you (Fluent, Some)?

I am available to make phone calls (check all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Morning (between 9 AM and 1 PM)

Afternoon (between 1 PM and 5 PM)

Evening (between 5 PM and 8 PM)

Submit

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