Flood relief volunteer sign up: Letcher & Knott Counties
Welcome - we appreciate your interest in volunteering with flood response efforts in Southeastern Kentucky. We are a group of volunteers from Letcher County connecting willing workers with nearby families in need. 
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PEASE READ THIS before continuing:  Submit this form if you want to volunteer. If you are an out-of-area volunteer, you are responsible for finding your own housing at this time. We do not currently have the resources to support volunteer housing. Some camping options may be available at Wiley's Last Resort.

Please bring your own water when volunteering. If possible, please also purchase/bring personal protective equipment with you (respirator, rubber boots, work gloves/rubber gloves). You'll likely want to have a change of clothes for the end of the day. We also recommend that all people volunteering in affected homes have a recent/current Tetanus and Hep A shot. You can receive these at MCHC's main office drive-thru: 226 Medical Plaza Ln, Whitesburg, KY 41858

We are trying to communicate with volunteers close to the dates that you sign up for. Please bear with us, we're a group of volunteers responding to changing needs and capacity daily. 

This form is not for supply donations or drop-offs. If that is what you are looking for, call 606-633-2339.
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Required
At this time, we are only taking volunteers through Sept 11th. When are you able to arrive? How long are you interested in staying?  Please indicate specific dates if possible. *
What is your first and last name? 
If you are coming with a group, what is the name of your group/organization (or who is a contact person for the group)?
Phone number *
Can you receive text messages at this phone number?  *
Email address *
Emergency contact (Name & Phone number) 
Where are you located/ coming from?  *
Address or city
How many people are you bringing to volunteer (including yourself)? *
What are you able and willing to do in a volunteer capacity? (Select any that apply)
Any other skills or services would you like to offer? 
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