Dairyland Housing Coalition Point In Time Street Count Volunteer Sign Up
Wednesday, July 22, 2026
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are you representing an Agency or are you a Community Member?
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Agency
Community Member
Other
Which Agency?
*
Would you prefer a walking route or driving route?
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Walking Route
Driving Route
Either Route
Other
How comfortable are you with walking?
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Walking the whole time
Some driving and some walking
No walking, driving only
Are you willing to drive?
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Yes
No
Maybe
Are you comfortable riding with others?
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Yes
No
Other
Preferred Area
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Buffalo County
Eau Claire County
Jackson County
Trempealeau County
Any County
Counties Preference
Buffalo County
Trempealeau County
Jackson County
Previous Point In Time Street Count Experience:
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Yes
No
How many PIT Counts have you done?
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First one
2-4 counts
5 or more
Are you comfortable being a group lead?
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Yes
No
Maybe
Would you attend a Narcan Training? We will be hosting a Narcan training on July 14th, 2026 from 5-6pm at Western Dairyland 1 Better Way.
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Yes
No
Other
Other: Narcan
Are you comfortable performing CPR if needed?
Yes
No
Maybe
Other: CPR
Preferred Team Members: We will do our best to accommodate requests. You will be in a group with at least one person that has previous PIT experience. Groups are typically 3-4 people.
*
Any other information that you want to share with us:
Submit
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