COVID-19 National Scientist Volunteer Database: Questions for prospective scientist community organizers
If you are interested in becoming a community organizer in your area, please answer the questions below.


Please refer any questions about this form to COVID19SciVolunteers@gmail.com or check our website covid19sci.org
Email *
Full name *
Job title *
Institute/University/Organization *
City *
State *
What group are you hoping to organize? (choose all that apply) *
Required
Are you interested in using the contact information contained in the national database to build your team of local volunteers (Access is granted after a separate approval process)? *
Are you interested in joining our Slack channel that consists of national and local community organizers? *
Anything else we should know about you?
A copy of your responses will be emailed to the address you provided.
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