Arizona Together - Volunteer Registration
Arizona is committed to a unified effort to get our state through the COVID-19 outbreak. We need the support of Arizonans who are able to volunteer to help our state get through together. Medical professionals are also needed to offer support to Arizona's healthcare system as well as teachers and childcare workers to keep our kids safe and learning while schools are closed.

Please use the form below to let us know how you can help Arizonans through this crisis. An organization in need based in your community will be contacting you with volunteer opportunities. Thank you.

All volunteer opportunities will follow guidelines and protocols set forth by both the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO)  for COVID-19 prevention.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Phone Number *
Email address *
What city/town do you live in?
Select the county you live in. *
What is your age range? *
What volunteer opportunities are you interested in? *
Required
If you selected healthcare or childcare, what credentials do you have? (i.e. licensed nurse, retired doctor, certified teacher, substitute teacher, etc.)
What is your availability?
Morning
Afternoon
Evening
Flexible
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Is there anything else we should know about you? Special licensing, skills or qualifications? Specific areas of interest?
Do you speak any languages other than English? If so, please list the language(s) below and indicate your proficiency.
By completing this form you are authorizing the State of Arizona to share your information with partner organizations in need of volunteers. You may be contacted directly by the organization in need of support. Please check the box below to acknowledge this statement.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of Arizona. Report Abuse
Google Forms