If currently unhoused please select this box
Do you currently receive benefits from Placer County?
Select One Yes No
i.e: CalFRESH, Medi-Cal, or CalWORKs benefits
Do you consent to Connecting Point sharing your information with Placer County to verify your volunteer participation for County benefit programs?
Select One Yes No
If you receive services or benefits through certain Placer County programs, your volunteer hours may count toward program requirements or help you qualify for services or benefits. With your permission, Connecting Point may share information with Placer County to verify your volunteer participation. This may include your name, date of birth, contact information, volunteer activities, verified volunteer hours, and any other information reasonably needed to identify you in Placer County's system and confirm your volunteer service. Your information will only be shared for this purpose and only with your consent. By selecting "Yes," you authorize Connecting Point to share this information with Placer County. Your authorization is voluntary and may be withdrawn at any time by contacting Connecting Point. Withdrawing your authorization will not affect your ability to volunteer, but it may prevent Placer County from verifying your volunteer participation for County programs or benefits.
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