Sign Up for the Ventura County PIT Count 2020
Your basic info
First Name*
Last Name*
Email*
Phone Number*
Agency/Organization (if applicable)
Your profile
Do you have reliable transportation?*
Yes
No
Are you participating in the count as an individual, or would you like to participate as part of a group?*
Individual
Group
If you are hoping to volunteer with family or friends, please choose a team name and have them use the same name when they register - this will help us to pair you up for the count!
Have you previously participated in the count?
Yes
No
Are you an outreach worker?*
Yes
No
If you're not an outreach worker, are you comfortable talking to people whom are experiencing homelessness?
Yes
No
Deployment Center
What is your primary choice of count area?*
Oxnard (All Saint's Espiscopal Church 144 South C Street Oxnard, CA)
Santa Paula
Simi Valley (Samaritan Center Simi Valley, CA)
Thousand Oaks
What other count areas would you be willing to volunteer? (Select all that apply)
Oxnard
Santa Paula
Simi Valley
Thousand Oaks
* Unless notified you will be reporting to the count area of your first preference. Thank you for your flexibility.
Emergency Contact
While we do not expect issues, we ask that volunteers identify an emergency contact.
Emergency Contact Name*
Emergency Contact Phone Number*
Additional Information
If you have any additional information to add, please do so here: (500 characters or less)
Sign Up