MAD RIVER VALLEY AREA-COVID 19 Community VOLUNTEER SIGN-UP
We are creating a list of volunteers available in the Mad River Valley for help around COVID-19. We'd like to help coordinate a public response as a proactive measure to protect and support each other, particularly our most vulnerable populations.

Experts say we can reduce the spread of the virus by staying home. This volunteer effort is to make sure all of our community members have what they need to enable them to stay home, whether sick or healthy.

The info you provide will only be used by the local volunteer organizations and the Valley-wide COVID-19 Emergency Response which is sanctioned by our towns Select boards. Volunteers will be contacted as needs arise.

Important: Noting that you would like to be contacted about any of the work mentioned below does not constitute a hard and fast commitment. We know circumstances can be unpredictable. Checking "yes" just means we may get in touch if the need for volunteers or supplies arises.

Note: Risks and best practices will be discussed before any work is done.

Lastly, we thank the Burlington community, who gave a template for such a survey.

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
What town do you live in? *
Would you like to be contacted about volunteer opportunities that involve picking up and/or delivering needed supplies to those neighbors unable to leave their homes? ( Again, risks and best practices will be discussed before any work is done. This option will not be right for everyone.) *
Do you have any medical experience that you may be able to offer? *
Would you be interested in being part of peer-to-peer counseling via phone or online platform for those who are suffering from isolation or emotional crises? *
Would you be interested in helping with food prep? (This information will be offered directly to Meals on Wheels, the Food Shelf, and other organizations.) *
Would you be interested in providing child care? *
Would you be interesting in helping with pet care (dog walking, vet appointments, outdoor feeding) *
Would you be interested in helping community members in need with light tech support? (Example: setting up online connections, video conferencing...) *
Would you be willing to share supplies like food, water, medical supplies, etc.? *
Please indicate what you think you have to share. (It's ok if you don't know at the moment or if you don't have extra resources on hand.)
Your answer
Could you offer someone any temporary work for people refraining from their typical jobs? (Remote, outdoor, etc.)
Your answer
Do you have special skills or particular resources you would like us to know about?
Your answer
Other thoughts or comments?
Your answer
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