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Volunteer Sign-Up
This form is for volunteers to sign up for tasks associated with COVID-19 in the Copper Country. If you need any assistance please contact Angela Luskin at
aluskin@portagehealth.org
If you are looking to sign up your agency to get volunteers please use this form -
https://forms.gle/2a8Amj1pCU2wsjWBA
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
*
###-###-#### format please
Your answer
What County do you live in?
*
Houghton
Ontonagon
Gogebic
Keweenaw
Baraga
Are you over the age of 18
*
Yes
No
Do you have a valid Drivers License
*
For consideration in potential driving related volunteer opportunities.
Yes
No
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Times Available
*
Your answer
Comments?
Your answer
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