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CoronaAid757 Volunteer Sign-Up Form
Want to help run errands and make grocery drops for high risk people during this crisis? Sign up here!
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Name
*
Your answer
Email
*
Your answer
Phone Number
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Your answer
Would you like to be:
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A coordinator/back end admin (works from home keeping track of incoming requests, dispatching runners, managing records and information, etc.)
An errand runner (picks up and delivers pre-made care packages, shops for any specialty items as needed - needs to have own transportation and funds to front small purchases, will be reimbursed)
A grocery/supply shopper (keeps pantry stocked - needs to have transportation and funds to front larger purchases, will be reimbursed)
I have a medical or therapeutic background and would like to extend my services
Required
Which days are you most available?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Your zip code:
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Your answer
Areas you're willing to service:
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Norfolk
Virginia Beach
Portsmouth
Chesapeake
Suffolk
Franklin
Hampton
Newport News
Williamsburg
Other:
Required
Do you have any questions, or anything else you'd like us to know?
Your answer
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