2010 Austin Travis County Homeless Count and Survey Volunteer Application

HOMELESS COUNT RESCHEDULED TO TUESDAY, FEB. 2ND

The Homeless count originally scheduled for Thursday January 28, 2010 has been rescheduled due to rain. The count will now take place Tuesday, February 2nd from 4:00 p.m. to 10:00 p.m.

You will be forced to answer some questions that no longer make sense (i.e. training date that has passed). Please choose any answer, and we will contact you with any clarification. Feel free to email austinhomelesscount@gmail.com with any additional questions.

Also - Please watch the video and read the handbook under the training section on our website.

http://traviscountyhomelesscount.org/

Thank you for volunteering. Please invite your friends.

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* 1. What is your contact information?

First & Last Name: *

Organization:

Address:

City/Town:

State:

ZIP/Postal Code:

Home/Cell Phone:

Work Phone:

Email: *

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* 2. Emergency Contact

Name: *

Phone: *

Relationship:

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* 3. How did you hear about this opportunity?

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* 4. Have you participated in the Homeless Count before?

Yes

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* 5. If you have a vehicle, are you willing to transport volunteers on the night of the count?

Yes

N/A

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* 6. If you have participated before - are you willing to be a team leader on the night of the count?

Yes

N/A - This is my first year

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* 7. Which training session would you prefer to attend?

Tuesday, January 26th from 6 - 8 pm.

Thursday, January 28th from 2 - 4 pm. (before the count)

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* 8. Which area(s) are you interested in counting? (Choice not guaranteed)

Urban: Downtown & University areas

Rural: Campsite, greenbelts, river areas

Thoroughfares: Bridges, underpasses

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* 9. Would you liked to be matched with another volunteer? If so, who?(Choice not guaranteed)

Yes - please try to match me with:

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* 10. Do you speak Spanish or are you familiar with American Sign Language (ASL)?

Yes - Spanish

Yes - ASL

N/A

2010 Austin Travis County Homeless Count and Survey Volunteer Application

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* 1. What is your contact information?

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* 2. Emergency Contact

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* 3. How did you hear about this opportunity?

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* 4. Have you participated in the Homeless Count before?

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* 5. If you have a vehicle, are you willing to transport volunteers on the night of the count?

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* 6. If you have participated before - are you willing to be a team leader on the night of the count?

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* 7. Which training session would you prefer to attend?

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* 8. Which area(s) are you interested in counting? (Choice not guaranteed)

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* 9. Would you liked to be matched with another volunteer? If so, who?(Choice not guaranteed)

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* 10. Do you speak Spanish or are you familiar with American Sign Language (ASL)?

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* 11. Please describe any work/volunteer experience with the homeless population.

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* 12. Please list any additional information or skills that may assist us in conducting a count/survey.