2018 Point in Time Volunteer Application

Thank you for your interest in volunteering with the Big Bend Continuum of Care's 2018 Point in Time count.

* Required

Full Name *
Mailing Address:
address,city,state,zip code
Phone Number: * 123-456-7890
Alternate Phone: 123-456-7890
Email Address: *

Are you 18 years or older? *

Yes       No
Have you participated in the Point in Time count before? *

Yes       No
Have you ever experienced homelessness?

Yes       No
Do you have a vehicle that you are willing to use during the count?

Yes       No
Are you interested in being a Team Lead? The Team Lead is responsible for promoting team unity, collecting surveys, and distributing supplies.
Yes       No

 In which county (counties) would you like to volunteer?* Training dates/times will be provided to you via email.
Taylor        Gadsden         Franklin        Wakulla         Leon  

Would you like to make a donation? You will be contacted for more information about your donation.
Snacks and bottled water
Items to distribute (gloves, socks, blankets/sleeping bags, baby wipes, personal hygiene items, tents, etc.) 
$5 gift cards (fast food, grocery stores, Walmart, Target) for interviees

Thanks for your help!

updated 11-17-17

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