Illinois COVID-19 Volunteer Reporting Survey

The following survey will be utilized by the State of Illinois to collect aggregate volunteer data during the COVID-19 response effort. The data may be used at a later date in any application for disaster funding. Please continue to submit surveys on a weekly basis as your aggregate data increases.

1.Organization Name:

2.County Served (if multiple counties were served, please select "multiple counties" and list them in the box provided)

3.Primary Contact Name:

4.Primary Contact Email:

5.Primary contact phone number:

6.Number of total volunteers utilized for COVID-19 response:

7.Number of hours served by volunteers during the COVID-19 response:

8.Number of people served:

9.Please list the volunteer activities conducted during the COVID-19 response.