New COVID-19: Desert Aid Returner Volunteer Form

Name *

Pronouns *

Email *

example@example.com

Phone Number *

Do you have any of the following dietary restrictions? We will try our best to accommodate, but cannot guarantee our ability to meet all dietary needs. *

None Vegetarian Vegan Gluten-free Halal Kosher Other

Do you have any health conditions, including allergies, that we should know about? Please tell us about them, including any medications you are currently taking.

When are you available to start coming out to the desert and how many days a month are you available to come out? If you are a short term volunteer, do you have an end date? *

Do you speak Spanish? Please choose the percentage that best indicates how much you can understand and articulate in ordinary situations. *

None: 0% Basic: below 50% Intermediate: 60% Conversational: 80% Completely fluent: 95-100% Native speaker: 100%

Medical skills *

Past involvement with No More Death's Desert Aid Work *

Month long Volunteer (spent 4+ weeks or whole ML program, but haven't been back since then) Returning Out-Of-Town Volunteer/ Facilitator (spent 4+ weeks or whole ML program and have been back to camp since, lives outside of Southern Arizona) Returning Local Volunteer/ Facilitator (lives in Southern Arizona and have experience holding down camp, but has not done it in a while)

Have you attended a New Volunteer Orientation training? If so, what month and year? *

Please describe your involvement/ connection with NMDs. What month(s)/year(s) were you here? Who facilitated/trained you during your ML Program? How long have you been involved with NMDs? *

Have you been to our aid station, Byrd Camp? If so, how much time have you spent at Byrd Camp. *

Have you previously bottom-lined and/or supported with patient care? Are you comfortable bottom-lining patient care? Would you need support (refresher training, a buddy, etc)? If you do not have experience providing patient care, please indicate N/A (reminder that it’s not a secure form) *

Please read the Bryd Camp Protocol.

Do you agree to follow these protocols? Do you have any questions or concerns regarding the Bryd Camp Protocols? (It's OK to have questions. We will have more in-depth training when you go to camp and can tailor training to address questions/ concerns.)

*

Please read the NMD COVID-19 Risk assessment Document.

Please describe where you fall using the risk assessment above. If you have any yellows and reds, please expand and let us know if there are any ways you can adjust your practices to reduce your exposure. Let us know if there are any ways we could help you lower your risk (providing masks for you to wear to work, etc.)

*

Traveling to Tucson

Air Travel: Airplane travel is only an option for medical professionals under the following conditions: 1) Wear a N95 mask that has been properly fitted the entire trip. It would be optimal for volunteers to travel nonstop and fly on an airline that does not fill all the seats (leaves center seats vacant). 2) Diligent hand hygiene and sanitizing practices. 3). Throw away the N95 mask away upon arrival. Wearing goggles or shields during travel is also highly advised. Non-medical professional must quarantine for two weeks prior to doing desert aid work and are responsible for securing your own housing during this time.
Personal Vehicle: If you are mostly green with no red on the risk assessment and practice diligent hand hygiene and sanitizing practices throughout travel, you do not have to quarantine once you arrive to Tucson
Other: If you are traveling through other means, you will need to quarentine for two weeks and are responsible for securing your own housing during this time.

How do you plan to travel to Tucson? Do you have any questions about the information above? *

Is there anything else about yourself or your background that you would like us to know?

Would you need to stay at the volunteer apartment? *

Yes No

For Black Indigenous People Of Color (BIPOC) returning volunteers: would it be helpful to receive a stipend to do desert aide? NMD may be able to provide a stipend from $50/day, up to $500/month. (The BIPOC working group will review your request and will get back to you ASAP).

Yes No

COVID-19: Desert Aid Returner Volunteer Form

Timeline for Requests:

General Questions

NMD Involvement

COVID-19 Questions

NMD Resources for Returning Desert Aid Volunteers