SLUSOM: Assisting with Grocery/Supply Delivery

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First Name *

Last Name *

Email *

Phone *

Best way to reach you *

Do you have a car?

Yes

Clear selection

Would you be comfortable with buying the items, then being reimbursed upon delivery?

Yes

Other:

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General availability

How often can you assist? (i.e. twice, once a week, etc.)

Questions/Comments

By signing up to volunteer, you are acknowledging/complying with the following guidelines:

1. You have not tested positive for COVID-19 or have been symptom-free for at least 14 days
2. You are not currently sick with a fever, cough, or sore throat
3. You have not traveled to a high-risk area (Washington, CA, NY, etc.) in the past 14 days
4. You are not in quarantine due to contact with a COVID-19 case
5. You are practicing social distancing (e.g. avoiding large groups)
6. You are acknowledging that you may be putting yourself at risk for contracting COVID-19 by working in the home of a healthcare professional
7. SLUSOM or the organizers of this volunteer program are not liable for any negative outcomes related to volunteering

If your answers to the above change at any time, you must contact your volunteer organizer

I agree to the guidelines outlined above *

Agree

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