Screen Reader Mode Icon
If you are registering to volunteer for the October 29 Medication & Sharps Disposal day, please use this link instead: https://www.surveymonkey.com/r/Adults10-29-22
Thank you for your interest in volunteering with HC DrugFree's team!  We have a variety of different events and programs throughout the year that require volunteers, and by completing this form, we will know to contact you for those that match your interests and/or talents/skills.  

Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. Title you prefer

Question Title

* 4. Street address

Question Title

* 5. City

Question Title

* 6. Zip code

Question Title

* 7. Are you a Howard County resident?

Question Title

* 8. What best describes you (select all that apply):

Question Title

* 9. Please select all that apply to you

Question Title

* 10. Email address

Question Title

* 11. Re-enter email address

Question Title

* 12. Phone number

Question Title

* 13. Re-enter phone number or provide 2nd number

Question Title

* 14. Availability (all volunteer positions are part-time and flexible)

Question Title

* 15. Are you available for any of these upcoming events?  (Someone will contact you will additional information and to confirm your availability.)

Question Title

* 16. If an offer is made and before a volunteer position is accepted, do you authorize HC DrugFree to run a background check on you if required for the position.

Question Title

* 17. Select all that apply:

Question Title

* 18. Volunteers, contractors, and employees may be required to wear a mask, socially distance, and follow HC DrugFree's guidance and procedures. Do you agree?

Question Title

* 19. Questions for HC DrugFree:

Question Title

* 20. Additional information you'd like us to know:

Thank you.


0 of 20 answered
 

T