JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VC Defensa Volunteer Intake Form
VC Defensa Intake Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
Did you attend a volunteer meeting or apply to join online?
*
Volunteer Meeting
Applied online
Other:
We have our volunteers broken out into regional base groups.
Choose Base Group that is closest.
*
Choose
Oxnard (Includes El Rio / Port Hueneme)
Ventura (Ojai Valley, Saticoy, & Somis)
East County (Thousand Oaks, Newbury Park, Simi Valley, Moorpark, Camarillo)
126 / Santa Clara Valley (Fillmore, Santa Paula, Piru, Santa Clarita)
What town do you live in?
*
Your answer
What area do you work in?
Your answer
What is your phone number?
*
Your answer
Do you speak Spanish?
Yes
No
Clear selection
Any additional information you want the organizers to know?
Your answer
Do you know any VC Defensa Volunteers? If so, who?
Your answer
Do you want to get involved in VC Defensa concentrations?
Education Workers of VC Defensa
Healthcare Workers of VC Defensa
Union Labor Against ICE
Artists Against ICE
Students Against ICE
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report