Sign Up for the Stanislaus County Point in Time Count 2022

Your basic info First Name* Last Name* Email* Phone*

Your profile Are you registering as an indiviudal or as part of a group?* If you are registering as part of a group, what is your Team name? (Each team member must register separately.) Do you have reliable transportation?* If you have reliable transportation, do you have a vehicle you are willing to volunteer for the PIT Count?* Have you previously participated in the count?* Are you willing to be a team leader? Responsibilities might include choosing a meet-up location, confirming everyone on your team is set up with the mobile app, and at the end of the count confirming everyone on the team has submitted all surveys.* Do you have a smart phone that you would be willing to use to help collect survey information during the count?* Which mandatory virtual survey/homeless engagement training will you attend? (Must be able to join training via computer or smart device, cannot participate by call-in. You must be able to hear and view training slides being presented. A calendar invite with virtual meeting link will be emailed to you.)* Do you speak Spanish?*

COVID-19 Concerns Are you in need of PPE (personal protective equipment) for yourself?*

Deployment Center Preferred Location (City) for Volunteering* If your first location (city) is unavailable, what is your second choice? (single choice)

Emergency Contact While we do not expect issues, we ask that volunteers identify an emergency contact. Emergency Contact Name* Emergency Contact Relationship* Emergency Contact Phone Number*