Volunteer Now Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone Number * Skills * Work Pastimes How would you like to help? Days you would be available Hours you would be available Drivers licence * Yes No Able to use own car * Yes No ACKNOWLEDGEMENT * I acknowledge that I will provide my services on a voluntary basis and have no expectation of payment. I ___________ state that as of today’s date I have no symptoms which could be linked to Coronavirus COVID-19. I acknowledge that I must inform the manager of any services I undertake if I feel unwell, have cold or flu symptoms or have a high temperature. Thank you for helping our community, we will be in touch CommunityMark Jesser28 March 2020 Facebook0 Twitter LinkedIn0 Tumblr 0 Likes
