Volunteer Registration

Thank you for volunteering to participate in the 2022 Point in Time Count on March 10, 2022 from 6AM-11AM!
Please note that all volunteers must be fully vaccinated with the COVID-19 vaccination to participate.

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* 1. Name

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* 2. Email

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* 3. Cell phone number (include area code)

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* 4. What agency/organization are you volunteering for, on behalf of, or with? If none in particular, skip.

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* 5. Have you participated in the Point in Time Count before?

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* 6. How are you able to assist in the Point in Time Count?

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* 7. In what region will you help conduct surveys?

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* 8. Have you received the full COVID-19 vaccination?

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* 9. Please upload a copy of your COVID-19 Vaccination Card

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