MakerLab COVID19 Volunteer Form
This form is to collect volunteer information related to the Durango, CO MakerLab COVID19 response efforts with the goal of supporting the Durango and the Four Corners area healthcare professionals and their patients.

Any personal or contact information collected will be visible to MakerLab Council members, and may be shared with staff and volunteers based on one's volunteer roles. Volunteers will be contacted prior to being assigned any roles.
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Email *
First Name *
Last Name *
Telephone Number *
May We Text You? *
May We Call You? *
Home Street Address *
Home City *
Home State *
Home Zip Code *
Which of the following fields do you have experience in? *
Required
Are You Available to Drive/Transport Materials *
Estimated Days of Availability *
Required
Estimated Hours of Availability (per day indicated above) *
Are You Currently Seeking Employment?
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Home Equipment
Are you interested in being part of an assembly crew? *
Are You Currently a MakerLab Member?
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