Applicant Form
Please fill out the form to apply for this free service.  Volunteers are ready depending upon availability.

Hours of operation are Saturday and Sunday, 12 pm -6 pm.  Other days/times depending upon availability.  As a courtesy, please give at least 48 hour advance notice scheduling a time.  You will receive a call or text when you have matched with your Volunteers.

Please reserve your time below.  
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First and Last Name *
Cell Phone Number (By filling this out, I give permission to text me) *
Email Address (By filling this out, I give permission to email me) *
Birthdate *
Your preferred language: *
Date you will need a Volunteer: *
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Time you will need a Volunteer: *
Time
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How many hours will you need a Volunteer? *
Address of destination: (All destinations must be located in Salt Lake County) *
Do you need a Volunteer outside hours of operation? If so, when?
Role in which you will need a Volunteer that day: (For example, shopping, walking outside, etc) *
Are you willing to follow Covid-19 Safety Guidelines including wearing a mask? *
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