Volunteer Registration

Account

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

First Name *

Last Name *

Preferred Name

Date of Birth *

If you are a Center staff member, please enter your work email address for verification.

Email *

Cell Phone

Pronouns

If other, please specify

Upload Your Photo

Certification of Agreement *

Yes

I agree to the Certification of Agreement

COVID Vaccination Policy/Requirements

The standing policy is all volunteers and interns working in a department role must provide proof of vaccinations. This proof of vaccination is required at least 48 hours prior to in-person service.

I am up-to-date and have received the 2023 COVID-19 vaccination. *

Yes No

COVID Vaccination Upload

I have received the 2023 updated influenza vaccination. *

Yes No

Flu Shot Vaccination Upload

*Please note: As of November 1st, 2023, Staff and volunteers working in our Health Services locations who have not yet received both the 2023 updated influenza and the 2023 updated COVID-19 vaccinations or who decline either vaccine will be required to wear face masks at all times, except when eating, drinking, or alone in a closed space, at least through the end of April 2024.

Volunteer Registration

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