Sign Up for the Ventura County PIT Count 2020 Point in Time Count
Your basic info
First Name*
Last Name*
Email*
Phone Number*
Agency/Organization (if applicable)
Your profile
Do you have reliable transportation?*
Yes
No
Will you be coming by yourself or with a group?*
Coming by yourself
Bringing another person/people
If you are hoping to volunteer with family/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!
NOTE: Teams are 2-4 people
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 for a deployment center?*
Fillmore
Oxnard
Santa Paula
What other areas would you be willing to volunteer? (Select all that apply)
Fillmore
Oxnard
Santa Paula
* Unless notified you will be reporting to the deployment site 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.
Contact Name*
Contact Phone Number*
Additional Information
If you have any additional information to add, please do so here: (500 characters or less)
Sign Up
