Volunteer Intake Form
Thank you for signing up to volunteer with Grays Harbor County Public Health COVID-19 Incident Management Team! We rely heavily on our volunteers and could not respond effectively to this pandemic without you!

This form is designed to gather your information, learn a little about you, then have a member from our volunteer coordination team reach out to finish your unique process to get you volunteering as soon as possible!

Please note that all volunteers are subject to background check. This may be waved depending on extenuating circumstances.

If you need technical assistance with this form, please contact our Resource Center at (360) 964-1850 Mon-Fri 8:30 AM - 4:00 PM and Sat, Sun, and Holidays 10:00 AM - 2:00 PM.
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First Name *
Middle Initial *
Last Name *
Date of Birth *
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Contact Phone Number *
Contact Email Address
Are you a resident of Grays Harbor County? *
Are you 18 years or older? *
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