Volunteer Screening

Thank you for your willingness to serve as a volunteer!

Currently we are coordinating volunteers for the following activities in our community:

Calling to say hi.
Drop off food from pantries or other donated sites.
Pick up and drop off groceries
Pick up and drop of pharmacy orders
Childcare for medical workers (click here for more information)

All volunteers are responsible to know and abide by the volunteer protocols. Learn more about the protocols here.

Please complete the following volunteer screening and you will be contacted by local agencies as soon as they are in need of your help.

Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you traveled outside the state of Iowa in the last 14 days?*
Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you been in close contact with someone who has traveled within the last 14 days to China, Italy, Iran or South Korea?*
Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you come into contact with anyone that has a confirmed or suspected case of COVID-19?*
Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you been on a cruise in the last 30 days?*
Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you been on a flight in the last 30 days?*
Unfortunately you are ineligible to serve in this capacity due to your current age or health situation. Everyone is invited to consider making a financial donation to help support the efforts of local non-profits to address the needs of those in our community. Donate Here
Have you experienced any of the following symptoms in the last 14 days?*
- Fever of 100.4*F or greater
- Muscle aches
- Diarrhea
- Runny nose
- Abdominal pain
- Headache
- Nausea/vomiting
- Sore throat
- Shortness of breath
- Cough
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
What city do you live in?
City
Is this your first volunteer screening?*
Email*
Cell Phone*
How would you like to help?*
- Select All
- Call others to say hi.
- Drop off food from pantries or other donated sites.
- Pick up and drop off groceries.
- Pick up and drop of pharmacy orders.
Volunteer Protocols Agreement*
I have read the volunteer protocols and agree to abide by them.
Read the Volunteer Protocols
Comments
This field is for validation purposes and should be left unchanged.