2011 Sonoma County Point-in-Time Homeless Count Volunteer Registration

50% of survey complete.

On the morning of the 2011 Point-in-Time Homeless Count (Friday, January 28th), volunteers will be asked to work with expert homeless guides recommended by service providers, and drive/walk all over assigned routes from approximately daybreak to 10am. Volunteers are expected to have a car and a cell phone, be willing to help with transportation needs, and be able to walk approximately 2-3 miles if necessary. Additionally, all volunteers are strongly recommended to attend a training session.

To sign up to participate, please fill out this short survey.

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1. Your Information:

First Name:

Last Name:

Agency/Organization:

Email Address:

Phone Number:

Cell Phone Number:

Mailing Address:

City:

Zip Code:

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2. What volunteer role(s) do you prefer? (Check all that apply)

a. Field Team Counter/Enumerator (~90 needed) - Needed on January 28th from 6am-10am to work with expert homeless guides and drive/walk all over assigned routes to count homeless individuals. Enumerators should be able to walk 2 miles in a 4-hour period and be comfortable on the street.

b. Deployment Center Team Member (~10 needed)- Needed on January 28th from 6am-10am at deployment centers to help send out homeless enumeration teams.

c. Survey Distribution Team Member (~10 needed) - Needed on or around January 31st and continuing for a couple of weeks to collect and distribute survey paperwork.

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3. What geographic areas are you most comfortable with or knowledgeable about?

	Very comfortable / knowledgeable	Somewhat comfortable / knowledgeable	Not at all comfortable / knowledgeable
a. South County (Petaluma, Rohnert Park, Cotati)	a. South County (Petaluma, Rohnert Park, Cotati) Very comfortable / knowledgeable	a. South County (Petaluma, Rohnert Park, Cotati) Somewhat comfortable / knowledgeable	a. South County (Petaluma, Rohnert Park, Cotati) Not at all comfortable / knowledgeable
b. Sonoma Valley (Sonoma, Glen Ellen)	b. Sonoma Valley (Sonoma, Glen Ellen) Very comfortable / knowledgeable	b. Sonoma Valley (Sonoma, Glen Ellen) Somewhat comfortable / knowledgeable	b. Sonoma Valley (Sonoma, Glen Ellen) Not at all comfortable / knowledgeable
c. Central County (Santa Rosa, Windsor, Sebastopol, Graton)	c. Central County (Santa Rosa, Windsor, Sebastopol, Graton) Very comfortable / knowledgeable	c. Central County (Santa Rosa, Windsor, Sebastopol, Graton) Somewhat comfortable / knowledgeable	c. Central County (Santa Rosa, Windsor, Sebastopol, Graton) Not at all comfortable / knowledgeable
d. North County (Cloverdale, Healdsburg, Geyserville, Lake Sonoma)	d. North County (Cloverdale, Healdsburg, Geyserville, Lake Sonoma) Very comfortable / knowledgeable	d. North County (Cloverdale, Healdsburg, Geyserville, Lake Sonoma) Somewhat comfortable / knowledgeable	d. North County (Cloverdale, Healdsburg, Geyserville, Lake Sonoma) Not at all comfortable / knowledgeable
e. West County and the Coast (Guerneville, Jenner, Sea Ranch)	e. West County and the Coast (Guerneville, Jenner, Sea Ranch) Very comfortable / knowledgeable	e. West County and the Coast (Guerneville, Jenner, Sea Ranch) Somewhat comfortable / knowledgeable	e. West County and the Coast (Guerneville, Jenner, Sea Ranch) Not at all comfortable / knowledgeable

f. Other specific areas you are familiar with:

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4. In what language are you conversationally fluent? (Check all that apply)

a. English

b. Spanish

c. Other (please specify):

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1. Your Information:

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2. What volunteer role(s) do you prefer? (Check all that apply)

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3. What geographic areas are you most comfortable with or knowledgeable about?

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4. In what language are you conversationally fluent? (Check all that apply)

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5. If you have any additional information to add, please do so here: