DC Point-In-Time Count Volunteer Registration

Volunteer Information

First Name

Last Name

Email Address

Phone Number

Don't enter dashes or other symbols

Are you at least 18 years old?

NOTICE

You must be 18 or over to volunteer for PIT. Thank you for your interest in volunteering and we hope you'll join us for a future count!

Are you affiliated with a homelessness provider agency, volunteer organization, or would you like to list your employer?

Please enter the name of the organization

Please enter the name of the person you'd like to partner with or any additional information you'd like to share with the PIT Team.

Point-In-Time Location Preference

We will do our best to match you with your first preference, but may need to match you with an alternative neighborhood. You will receive an email confirmation with the final placement.

Are you willing to use your personal vehicle to drive yourself and your team members on the night of PIT?

Note: if you select "Yes" we will assign you a driving map, based on your neighborhood preferences. You will be responsible for driving yourself and your team members throughout the duration of the PIT Count.

Neighborhoods Currently Available

Click any empty space on the form to update the map after you select a neighborhood.

Affiliated Organization

Neighborhood Status

Available Walking Slots

Available Driving Slots

PIT Neighborhood Map Links

Please use your middle mouse button to click the links below so they open in a new browser tab. If completing the form on a mobile device, please click and hold the link and select "open in new tab" to prevent your browser from navigating away from the form.

Training Registration

Every volunteer must attend a training session before participating in the count. Please select from the listing of available sessions below.

Open Training Sessions

Volunteer Surveyor Assumption of Risk, Waiver of Liability, and Release

Volunteer Details

Employment Certification

I am NOT employed by the Government of the District of Columbia or TCP, and that I am performing the proposed volunteer work for civic, charitable and/or humanitarian reasons. I am an employee of the Government of the District of Columbia or TCP. 

PLEASE READ THE INFORMATION BELOW CAREFULLY

I certify that I am an adult, 18 years of age or older, and I am offering my services to the 2024 District of Columbia Point-in-Time Count (2024 PIT Count) and The Community Partnership for the Prevention of Homelessness (TCP) or one of its coordinating entities on a strictly volunteer basis. I understand and acknowledge as a volunteer that the COVID19 virus is still prevalent in the United States, including the District of Columbia and that I must take reasonable precautions during the 2024 PIT Count. I also understand and acknowledge as a volunteer that the below volunteer guidelines will apply to me during the 2024 PIT Count. As a volunteer I affirm the following:

o I have been fully vaccinated from COVID-19 virus (14+ days post-completion of the primary series of FDA authorized COVID-19 vaccine)

o I must wear a face mask or covering and other PPE, as required, at all times to limit exposure to COVID-19 and other airborne diseases;

o I must at all times social distance from other volunteers and individuals who are the subject of the 2023 PIT Count, meaning remaining at least six feet apart;

o I will sanitize my hands frequently during the 2023 PIT Count; and

o I will follow the safety and health protocols that have been implemented for the 2023 PIT Count.

I understand 10 days before the 2024 PIT Count (January 24, 2024), I will certify the following:

o I have not, to my knowledge, been exposed to a person with a confirmed or suspected case of COVID-19;

o I have not been diagnosed with COVID-19;

o I will not proceed with the 2023 PIT Count if I have a fever, am coughing, have chills, shortness of breath or have other flu like symptoms;

o I will follow the safety and health protocols that have been implemented for the 2024 PIT Count.

I acknowledge and understand that I voluntarily applied to serve as a surveyor for the 2024 PIT Count and as a volunteer I will not be paid for my volunteer services. I acknowledge, as a volunteer I am not eligible for any benefits traditionally associated with employment situations, including workers’ compensation benefits or health insurance. If I am injured or become ill as a result of my volunteer service, I am responsible for my own health care coverage and any fees associated with the receipt of any associated medical care. I also understand that I am not eligible for unemployment compensation benefits when my volunteer assignment ends.

I understand that I will be conducting the 2024 PIT Count surveys using my personal mobile device (or a company-owned mobile device that I have permission to use for this purpose) for which I will not be compensated. I further understand that I will be required to download an application (app), ArcGIS Survey123, for the purpose of conducting the 2024 PIT Count surveys. If during the course of using my personal (or company owned) mobile device, it is damaged, stolen, destroyed, or otherwise made inoperable, I understand that I will not be compensated by the District of Columbia, TCP, or any of the coordinating entities for any cost associated with the loss of my mobile device, the loss of use of my mobile device, or any other incidents, including misuse of the device, associated with the loss of my mobile device.

I understand that while conducting the 2023 PIT Count surveys, I will be collecting personally-identifying information (names/birthdates) and personal health information from the individuals with whom I will be interacting and I will be storing that information on my personal mobile device until the information is successfully submitted to 2024 PIT Count Lead I understand that the personally-identifying and/or health information does not belong to me and that I may not use (or misuse) or transfer (or otherwise share) the information to anyone, except as required by law or to the designated 2024 PIT Count lead, for any purpose. I understand that dissemination or misuse of the personally-identifying or health information collected as a part of the 2023 PIT Count could subject me to civil or criminal penalties or referral to law enforcement for appropriate action(s).

I understand that my volunteer activities associated with the 2024 PIT Count may expose me to people with infectious diseases. I fully understand, appreciate, and assume the risks that are inherent in these volunteer activities. I hereby assume the risk of bodily injury, illness, death, medical treatment, and/or property damage resulting from my volunteer surveyor activities, even if such result from the negligence of the District or TCP or its officers, directors, employees, or agents, or any of the coordinating entities.

I hereby release, discharge, and agree to indemnify and hold the District, TCP, and/or any of the coordinating entities harmless from, and waive on behalf of myself and my heirs and personal representatives any and all causes of action, claims, demands, damages, costs, expenses, and/or compensation for damage or loss to myself and/or my property that may be caused by any act, or failure to act by the District, TCP, and/or any of the coordinating entities, or that may otherwise arise in any way in connection with the 2024 PIT Count.

I understand that this release discharges the District, TCP, and/or any of the coordinating entities from any liability or claim that I or my heirs, personal representatives, or minors for whom I am responsible may have against the District or TCP with respect to bodily injury, illness, death, medical treatment, and/or property damage that may arise from or in connection with my volunteer activities. This liability waiver, assumption of the risk, and release extends to the District and TCP together with all of its officers, directors, employees, or agents.

I also understand that during my volunteer duties, I might be the subject of a photograph(s) or might be in the background of a photograph(s). I hereby grant permission to TCP to use photographs and/or video of me taken on January 24, 2024, during the 2024 PIT Count in publications, news releases, online, and/or in other communications related to documenting the 2024 PIT Count. I understand that there will be no payment associated with this release and waiver.

I agree that this release will be governed by the laws of the District of Columbia and the exclusive jurisdiction for any dispute arising from this release will be in the Superior Court of the District of Columbia.

Final Certification

I CERTIFY THAT I HAVE READ THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY FORM AND THAT I UNDERSTAND THE CONTENT AND THAT I ACCEPT AND WILL ABIDE BY THE TERMS SET FORTH HEREIN. 

Contact Information