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Temporary Short-Term Signs Registration Form

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Senior Help Volunteer Form

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First Name
Last Name
Email
Phone Number
Is there specific geographic location you prefer to volunteer in?
Types of services you are willing to help with:
1. Transportation to grocery store
2. Transportation to doctor appointments
3. Grocery / supply shopping and delivery for homebound individuals
4. Sharing of food / supply
5. Sharing of internet resources
If there are any other services that you are willing to help with, please let us know!
Thank you!
We greatly appreciate your willingness to volunteer to help our community during this time!