Kaufman County Vaccine Hub Volunteer Sign Up
Kaufman County along with the City of Terrell and TVCC are hosting a COVID-19 vaccine hub and need volunteers to help with this project. If you would like to volunteer please complete the below survey and someone will reach out to you with more information.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Mobile Phone Number
*
Your answer
Age
*
Your answer
Can you stand for long periods of time?
*
Yes
No
Are you a healthcare provider? (This is not required to volunteer)
*
Yes
No
What times and days are you available during the week?
*
Monday 8AM-12PM
Monday 12PM-5:30 PM
Tuesday 8AM-12PM
Tuesday 12PM-5:30PM
Wednesday 8AM-12PM
Wednesday 12PM-5:30PM
Thursday 8AM-12PM
Thursday 12PM-5:30PM
Friday 8AM-12PM
Friday 12PM-5:30PM
Saturday 8AM-12PM
Saturday 12PM-5:30PM
Sunday 8AM-12PM
Sunday 12PM-5:30PM
Available Anytime
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
