Volunteer Form
Rios Pharmacy has became an approved site for COVID-19 Vaccination. We are looking for volunteers to help with administrative, non-medical and medical work. We would like to thank everyone for their interest in helping serve their community!
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please select any positions your interested in
Administrative Check In
Non-Medical Volunteer
Parking/Traffic Control
Vaccinator
If you selected vaccinator, do you currently hold an active license to vaccinate?
Yes
No
Submit
Should be Empty: