Macomb County Volunteer Application
This application is for those who are interested in volunteering with Macomb County during the COVID-19 crisis.
First name *
Your answer
Middle Name *
Your answer
Last name *
Your answer
e-mail address
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Gender *
Ethnicity *
Please check all that apply to you:
If you have a Driver License, please enter the number:
Your answer
If you have a Driver License, please enter the issuing state:
Your answer
If you are affiliated with/volunteering with a community group or charitable organization, please identify the group:
Your answer
Please identify any of the following skills/experience you have: *
Little to no experience
Some experience
Significant experience
Data entry
Using social media
Supervising staff or volunteers
Answering phones and answering questions as scripted
Interacting with people
First aid/CPR
Languages spoken (Including sign language, if appropriate)
Your answer
Do you hold any professional licenses that might be relevant? If yes, please list.
Your answer
What other volunteer activities are you involved in?
Your answer
Please describe the types of volunteer experiences you are interested in (Delivering meals, answering help lines, assisting at food pantries, etc.)
Your answer
What types of groups are you interested in helping with? (Check all that apply) *
Required
Where would you like to volunteer? *
Thank you for your interest in volunteering for the County of Macomb. To help reduce potential exposure for those who fit the category of “vulnerable for serious illness” (or who may live with or care for someone who is vulnerable), we are asking that you let us know if you meet certain criteria in advance. We will do our best to match you with a volunteer opportunity that does not increase your risk for exposure. Please complete the following section: *
Required
The County of Macomb conducts a background check on all volunteers. These are processed through the Michigan State Police Internet Criminal Access Tool (ICHAT). In addition, the County of Macomb will conduct a driving record check through the Michigan Department of State. Please check this box to signify your understanding that a background check will be conducted. *
Required
In consideration of acceptance into the above referenced County of Macomb, COVID-19 Response, I do hereby release the County of Macomb and its officials, agents and employees of the County from liability for any personal injury, bodily injury, and/or damage to property which I may suffer while volunteering for Macomb County. This includes all risks that are connected with this activity whether foreseen or unforeseen.I acknowledge that I will not be provided health insurance by the County and that any such coverage will be my sole responsibility. I agree to hold the County of Macomb and its officials, agents and employees harmless from any damage or property, resulting from my negligence and/or intentional acts. *
Required
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