Book Day Volunteer Questionnaire
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1
. Volunteer first and last name:
Volunteer first and last name:
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2
. Phone Number:
Phone Number:
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3
. E-mail address:
E-mail address:
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4
. Please indicate preferred Book Day venue. (Specific venue locations TBD)
1st Choice
2nd Choice
3rd Choice
4th Choice
5th Choice
Bronx
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Please indicate preferred Book Day venue. (Specific venue locations TBD) Bronx 1st Choice
Bronx 2nd Choice
Bronx 3rd Choice
Bronx 4th Choice
Bronx 5th Choice
Brooklyn
Brooklyn 1st Choice
Brooklyn 2nd Choice
Brooklyn 3rd Choice
Brooklyn 4th Choice
Brooklyn 5th Choice
Manhattan
Manhattan 1st Choice
Manhattan 2nd Choice
Manhattan 3rd Choice
Manhattan 4th Choice
Manhattan 5th Choice
Staten Island (Ferry Terminal)
Staten Island (Ferry Terminal) 1st Choice
Staten Island (Ferry Terminal) 2nd Choice
Staten Island (Ferry Terminal) 3rd Choice
Staten Island (Ferry Terminal) 4th Choice
Staten Island (Ferry Terminal) 5th Choice
Queens
Queens 1st Choice
Queens 2nd Choice
Queens 3rd Choice
Queens 4th Choice
Queens 5th Choice
5
. Please indicate preferred shift start time. Please let us know if you can work more than one shift or are free to work the entire day.
First Choice
Second Choice
Third Choice
7am-9:30am
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Please indicate preferred shift start time. Please let us know if you can work more than one shift or are free to work the entire day. 7am-9:30am First Choice
7am-9:30am Second Choice
7am-9:30am Third Choice
9:15am-12:15pm
9:15am-12:15pm First Choice
9:15am-12:15pm Second Choice
9:15am-12:15pm Third Choice
12:00pm-3:00pm
12:00pm-3:00pm First Choice
12:00pm-3:00pm Second Choice
12:00pm-3:00pm Third Choice
Other (please specify)
6
. Please choose a volunteer orientation session:
Please choose a volunteer orientation session:
March 7: 6:30-8:30pm
March 12: 6:30-8:30pm
March 13: 12:00pm-2pm
March 13: 6:30-8:30pm
Other (please specify)
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7
. Please list an emergency contact name and phone number:
Please list an emergency contact name and phone number:
*
8
. Do you have any allergies or health restrictions that we should be aware of? If yes please specify below.
Do you have any allergies or health restrictions that we should be aware of? If yes please specify below.
Yes
No
Please specify
9
. Do you have a preferred doctor or hospital?
Do you have a preferred doctor or hospital?
Yes
No
Please specify
10
. If you're not available to help on March 15 but still want to pitch in we'd love to have you come by the Center on any of the dates below. Please select any/all dates that work for you and indicate specific times in the field below.
Volunteer shifts will begin at 11am and end about 6pm with extended hours on the 12th and 13th. These shifts are also open to day-of volunteers as well. The more the merrier!
If you're not available to help on March 15 but still want to pitch in we'd love to have you come by the Center on any of the dates below. Please select any/all dates that work for you and indicate specific times in the field below. Volunteer shifts will begin at 11am and end about 6pm with extended hours on the 12th and 13th. These shifts are also open to day-of volunteers as well. The more the merrier!
Monday, March 11
Tuesday, March 12
Wednesday, March 13
Thursday, March 14
Please share any specific time requests
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