Sign Up for the Ventura County PIT Count 2020
Your basic info
Agency/Organization (if applicable)
Do you have reliable transportation?*
Are you participating in the count as an individual, or would you like to participate as part of a 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?
Are you an outreach worker?*
If you're not an outreach worker, are you comfortable talking to people whom are experiencing homelessness?
What is your primary choice of count area?*
Oxnard (All Saint's Espiscopal Church 144 South C Street Oxnard, CA)
Simi Valley (Samaritan Center Simi Valley, CA)
What other count areas would you be willing to volunteer? (Select all that apply)
* Unless notified you will be reporting to the count area of your first preference. Thank you for your flexibility.
While we do not expect issues, we ask that volunteers identify an emergency contact.
Emergency Contact Name*
Emergency Contact Phone Number*
If you have any additional information to add, please do so here: (500 characters or less)