HICS Staff Redeployment Survey - Volunteers for Vaccine Distribution 1/13/21 - 1/17/21


Please complete the following availability survey. Thank you.

Please provide us with the best number to reach you.

Please Indicate Your Availability (Check all that apply)

Wednesday Availability (1/13/21)
Thursday Availability (1/14/21)
Friday Availability (1/15/21)
Saturday Availability (1/16/21)
Tuesday Availability (1/12/21)
Please provide detailed answers when appropriate.
Are you fluent in any other languages?