COVID-19 Volunteer Response Form

In the height of the COVID-19 pandemic, our non-profit clients and partners need you more than ever. Please complete this form to let us know if you're willing to help provide, sustainable, stable, and secure IT solutions to our non-profit cllients and partners.

Full Name *

Prefix

First Name

Last Name

Suffix

Preferred Name

Please list the name that you prefer to be called. If left blank, we will use the name listed above.

Email Address *

Please list your permanent/preferred email address.

Verify Email *

Phone Number *

Please list your permanent/preferred phone number.

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

COVID-19 Volunteer Capacity *

Please let us know if you are available/willing to volunteer in response to the COVID-19 pandemic.

Willing and Available

Willing and Not Available

Not Willing

General Volunteer Capacity *

Please let us know if you are available/willing to volunteer in general, outside of the COVID-19 pandemic

Willing and Available

Willing and Not Available

Not Willing

Other Skills *

Please list any other skills that you have that are listed above. Please type N/A if this portion is not applicable to you.

Volunteer Agreement

In order to minimize spread of infection, as an IT4Causes volunteer serving during any state of emergency declared by City of Richmond, Commonwealth of Virginia, United States, or the World Health Organization related to the COVID-19 coronavirus pandemic, I agree:

To use available technology to perform my duties remotely as much as reasonably possible,
To practice social distancing and proper handwashing standards promulgated by the US Centers for Disease Control when interacting with others in relation to IT4Causes and its clients,
That I do NOT have to provide any reason if I wish to decline volunteer opportunities that require in-person or on-site interaction; however, If I am sick or suspect I am infected with the virus that causes COVID-19, I MUST decline volunteer opportunities that require in-person interaction with IT4Causes staff, interns, volunteers, or clients,
To avoid use of client/end-user keyboards and mice as much as possible. If requested to do work on a client’s computer(s), I am expected to bring and use my own USB or wireless keyboard & mouse instead of those of the client/end-users,
That if requested to handle client laptops or other mobile devices, to wipe the exterior surfaces with disinfecting wipe(s) upon receiving the equipment, and immediately prior to returning the equipment to the user, and
To use best personal judgement in dealing with other potential sources of infection or contamination at client sites.

Accepance of Volunteer Agreement *

I agree to the terms listed above