COVID-19 Volunteer Registration

Totally Local VC and the Local Love Project can use your help

As you well know, these past weeks have been tumultuous for all of us. The world-wide impact of the Coronavirus (COVID-19) pandemic has been dramatically felt by individuals, families, local businesses, farmers and communities throughout Ventura County.

The response to this crisis has been extraordinary; the role of a connector, of helping our community, is one that our Totally Local VC and the Local Love Project team take very seriously. We feel deeply about the privilege of serving our Ventura County community.

We appreciate your offer to be a volunteer. Please fill out and submit the Volunteer Registration form below.

Volunteering for which organization?*

Totally Local VCLocal Love ProjectNo preference

Full Name*

First NameLast Name

E-mail*

Phone Number*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Date of birth*

mm/dd/yyyy

Drivers license*

State of license*

Emergency contact

Name

Phone

Volunteer job type preferred*

Hours and days available for work*

Languages spoken*

Currently employed?*

NoYes (please describe below)

Current employer

Job position or description

Any physical limitations?*

NoYes (please describe below)

Describe limitations*

Previous volunteer experience

Skills and qualities

Any criminal offenses?*

NoYes (please describe below)

Describe offenses*

How did you learn about us?

Thanks again for volunteering.