Complete this form to connect with a volunteer who will try to help you book an appointment for the Covid-19 vaccine. This form is for seniors (65+) who are struggling with the tech-heavy process. Please note that there are no guarantees beyond the promise that our volunteers will do their best to secure you an appointment.
Someone will be in touch over email or by phone to get the information required to help book your appointment. As a reminder, NO volunteer will ever ask you for your Social Security Number or Insurance details. Our volunteers will not take requests for a particular date and time or a particular vaccine brand.
IMPORTANT: Please DO NOT complete this form if you are in a position to help yourself, or someone you love, secure an appointment. This is a small group of volunteers who are seeking to identify and support those who don’t have anyone else to help them. Those who are at risk, who are stressed, who don’t have the tech knowledge or resources to do take this on themselves. If you submit this form for someone who could help themselves, or whom you could help, you are taking resources away from those who TRULY need us. Thank you for honoring our mission and being thoughtful before submitting a form.
Please select the county you live/work in and click "Continue" to start the form.
The WGIRLS INC
Founded in 2007, by a group of young professional women in New York City, WGIRLS INC was created to meet the needs of underserved women and children in the local community. Today through fundraising and volunteer initiatives, WGIRLS Inc. creates reverberating change in thousands of lives through its continued commitment to meet the needs of women and children in local communities throughout the country.
If you would like to learn more about our work or make a donation to support our efforts we encourage you to explore the site or contact us at firstname.lastname@example.org.