ActiveSGV Volunteer Interest Form
In an effort to encourage vaccinations against Covid-19, ActiveSGV has partnered with local and state public health departments to provide vaccine and vaccination information to our communities. The tasks include in person and online outreach. Our goal is to get the right information out into our communities so that we can keep each other safe and healthy.

If you are interested in helping out, please fill out the form below! All volunteers completing at least 2 hours of volunteer work are eligible for a $50 gift card.

*Volunteers must be at least 16 years of age. For any questions, please email diane.ojeda@activesgv.org 
登录 Google 即可保存进度。了解详情
Name *
First and last name
Email *
Phone number *
I can have conversations in ... *
必填
What are you interested in doing? *
必填
Additional comments, questions or concerns?
提交
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 Active San Gabriel Valley 内部创建的。 举报滥用行为