Invisible Hands Deliver (COVID19 Response Volunteers)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Invisible Hands Deliver (COVID19 Response Volunteers) - Philly Signup

Invisible Hands Deliver is working on expanding to Philadelphia, and looking for volunteers to help pick up groceries for seniors and those at-risk, who can't or are scared to go out.

Please only sign up if you are feeling healthy, are displaying no symptoms, have not traveled out of the country or come in contact with a sick person in the past 14 days, AND HAVE BEEN PRACTICING SOCIAL DISTANCING.

Visit https://www.invisiblehandsdeliver.com/ for details on how the program works.

First Name *

Last Name *

Email *

Phone *

City *

State *

Neighborhood *

Other Neighborhoods you'd be willing to assist?

Do you have a car you'd be willing to drive? *

Yes

What language are you comfortable speaking?

English

Spanish

Mandarin

Cantonese

Polish

Russian

Other (Specify in notes)

Clear selection

If you have one, please post a link to LinkedIn/Facebook/Twitter profile, so we can verify your identity *

Note: you must be healthy to be a volunteer. Please check the following boxes to affirm: *If you have questions about any of this, please check the "OTHER" box and add your comments in the "notes" section. *

I am not exhibiting any symptoms of COVID-19 (cough, fever, etc.)

I have not traveled out-of-country in the past 14 days

I have not come in contact with a sick person in the past 14 days

I have been practicing social distancing

I do not have any underlying medical condition that increases my risk from COVID-19

Other:

Required

Notes?

Thank you!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms