BBCoC 2023 Point in Time Volunteer Application

2023 Point In Time Volunteer Application
Full Name:*
Agency/Organization:*
Email:*
example@example.com
Phone:*
Are you 18 or older?*

YesNo
Have you participated in a previous Point in Time count?*

YesNo
What position would you like to volunteer for?*

Donation Drive SupportHeadquarters SupportPIT Planning VolunteerSurveyorSurveyor Team LeadOther
Please select the shifts you are available to volunteer on Tuesday, January 24th, 2023 (Leon County only)*

6am - 8am8am - 10am10am - 12pm1pm - 3pm3pm - 5pm5pm - 7pm7pm - 9pmNot Available
Please select the shifts you are available to volunteer on Wednesday, January 25th, 2023 (Leon County only).*

6am - 8am8am - 10am10am - 12pm1pm - 3pm3pm - 5pm5pm - 7pm7pm - 9pmNot Available
Please select the shifts you are available to volunteer on Thursday, January 26th, 2023 (Franklin, Gadsden, Jefferson, Liberty, Madison, Taylor and Wakulla counties only).*

6am - 8am8am - 10am10am - 12pm1pm - 3pm3pm - 5pm5pm - 7pm7pm - 9pmNot Available
Please select the shifts you are available to volunteer on Friday, January 27th, 2023 (Franklin, Gadsden, Jefferson, Liberty, Madison, Taylor and Wakulla counties only).*

6am - 8am8am - 10am10am - 12pm1pm - 3pm3pm - 5pm5pm - 7pm7pm - 9pmNot Available
Which county/counties are you available to volunteer in?*

FranklinGadsdenJeffersonLeonLibertyMadisonTaylorWakulla
An in-person Point in Time Volunteer training will be held on Sunday, January 22nd from 2-4pm. This training will be held at 1200 Church - 1200 W. Tharpe Street, Tallahassee, FL 32303. Are you willing and able to attend this training?*

YesNo
Do you have a vehicle that you are willing to use to transport your team members to survey sites? (Requires a valid drivers license and insurance)*

YesNo
How comfortable are you with using technology such as smart phone or tablet?*

Very comfortableModerately comfortableI might need some help
Have you ever experienced homelessness?*

YesNo
Have you received your COVID vaccine?*

YesNo
Should be Empty: