Social Media Volunteer Recruitment program

Applicant Details:
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Best phone number to reach you *
Best time to reach you by phone?

Morning Afternoon Evening Weekend
E-mail *

Confirmation Email example@example.com
Are you fluent in Russian?

Yes No
What other languages do you speak?
Are you already experienced at searching out and booking COVID19 vaccination appointments in New York?

Yes No
(no worries if not…we will help you quickly learn)

A staff member of the Shorefront YM-YWHA will contact you within 24 -48 hours to talk with you about the program and let you know the next steps
Should be Empty:

Applicant Details: