SCC Community Coalition Volunteer Sign-Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for offering to volunteer with the Community Coalition. The program is to help with the many projects underway, and any other ideas you may have.

-----For Donations See Below:
1) Community Food Pantry :
https://www.selectiva.org/causes/south-bay-pantry

2) Other COVID Projects: PPE, Communications, Outreach, etc.
https://www.selectiva.org/causes/sc-community-crisis-coalition-covid19

--- FOLLOW AND SHARE THE FACEBOOK GROUP
• https://www.facebook.com/pg/sccoalition/

----Join the IMPORTANT MESSAGES PHONE MESSAGING GROUP TO RECEIVE IMPORTANT INFORMATION
• https://chat.whatsapp.com/LqVde2i354A2jCbLHtyKfV

* Recipients release all liabilities and take full responsibility for themselves and the items they receive and utilize
*The volunteers need to also release all liability and accept full personal responsibility. The volunteers agree will handle information about recipients and contacts confidentially and not sure with the public, otherwise could face legal consequences.

Our processes and participants are
Questions:

Harbir Kaur Bhatia - 408 459 9945
Savinder Singh. - 408 728 8913

OR EMAIL US AT sccc.coalition@gmail.com

THANK YOU FOR VOLUNTEERING. IT'S A TIME FOR ALL US TO SERVE AND ALSO ORGANIZE FOR THE FUTURE

Email *

FIRST NAME *

LAST NAME *

Mobile Phone Number

Address: # and Street

City

How can you help if needed: *

Sharing updates with your network and organizations online, email, or otherwise

Community Food Pantry - Deliver, Collect Groceries, Sort Groceries/Package, OR Vet Applications

Help buy and collect, PPE: Masks, gowns and other medical needs

Be a Friend: Call A Senior

Other:

Required

Emergency Contact Name, Relationship, Phone Number

If you would like to receive Whatsapp Messages for Immediate Updates, please join https://chat.whatsapp.com/LqVde2i354A2jCbLHtyKfV

Done

Have you liked the Facebook Link https://www.facebook.com/sccoalition/

Yes

Clear selection

How did you learn about this or who is your reference

OPTIONAL: How do you identify your Race

OPTIONAL Gender

Male

Female

Other

Clear selection

Please Select Your Age Group *

14-17

18+

60+

Optional: Have You Ever Served in the Armed Forces

Yes

Clear selection

Medical Issues: Cough, Fever, other conditions, or have been around others? *

Yes If yes, please explain in the next question

None

Other:

Comments

I agree to subscribing and receiving emails and notifications, and also Whatsapp messaging. I take responsibility for reviewing the information and deciding for myself to apply it or not. I release the coalition and its partners of any liability or responsibility. I agree to follow privacy and personal care guidelines. *

Yes I agree

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms