Register for a Volunteer Account

Welcome to VaxForce! We appreciate your willingness to be a volunteer with us. Please fill out the following information.

For the best user experience, please complete the application on a desktop or laptop computer in one of the following browsers: Google Chrome, Mozilla Firefox, or Apple Safari.

***You will be sent a Verification Code via email to continue the sign-up process. Please check your Inbox or Junk Mail email folders for the code***

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Basic Info

First Name

Last Name

Date of Birth

Contact Info

Home Street

Home City

Home State

Home ZIP

Home Phone

Mobile Phone

Employer

Demographic and Volunteer Options

Do you consider yourself a person with a disability?

Yes No

Distance Willing to Travel?

Please check if you want to help in a disaster.

Yes No

Volunteer Interests

Just a few more questions...

Email Address

Confirm Email Address

Password

Confirm Password

Yes, I'd like to receive communications from VaxForce.

By continuing with the registration process you are indicating your acceptance with the Terms and Conditions for this site. Clicking on the Next button below indicates you accept the site's terms and conditions. Click Here to view the Terms And Conditions.

Register for a Volunteer Account

Common Messages