Volunteer Interest Form

Volunteer Interest Form

People's Center is currently looking for volunteers to respond to community needs. During this time where our community is experiencing a lot of fear, we are looking for patient escorts who could drive patients to and from the clinic. People's Center is also needing volunteers to distribute donated food and household items as well as speaking with businesses and community members about People's Center Community Relief Plan.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you fluent in another language?
Which areas are you interested in volunteering for?*

Patient EscortsFood and Household PantryDistribution of Donation ItemsCommunity Outreach
Do you have a car?

YesNo
Currently we are needing volunteers on a need basis. Signing up does not automatically mean you will be needed on a specific day but rather that you are willing to volunteer your time if needed.
What days and times are you available to volunteer?

Mondays 7:30AM - 12:30PMMondays 12:30PM - 5:00PMTuesdays 7:30AM - 12:30PMTuesdays 12:30PM - 5:00PMWednesdays 7:30AM - 12:30PMThursdays 7:30AM - 12:30PMThursdays 12:30PM - 5:00PMFridays 7:30AM - 12:30PMFridays 12:30PM - 5:00PMOther
If you selected "Other" for the previous question, please specify:
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
To volunteer at People's Center a background check must first be completed. Followed by a negative TB test and training, if needed.
Should be Empty: