Personal Information

First Name:
Last Name:
Age:
<18
18-29
30-39
40-49
50-59
60-69
70-79
80+

Minors under the age of 18 are not eligible for Membership in Vivos without an accompanying Adult/Guardian Membership Application.
Home Address:

Unit #:

City:   State:
Zip:
Country:
Phone:
Email:
# People in your group:
How did you find Vivos?

Skills & Expertise

Check each professional area/field that you have

expertise in, or a good working knowledge of.

Accountant
Administrator
Agriculture
Architect
Artist
Automotive
Aviation
Beautician
Biotech
Chemist
Communications
Contractor
Dentist
EMT
Educator
Electrician
Electronics
Energy
Engineer
Executive
Farmer
Financial
Fireman
Fisherman
Government
HVAC
Health Care
Hospitality
Hunter
Law Enforcement
Lawyer
Martial Artist
Mechanic
Military
Musician
Nurse/Aide
Pharmacist
Physician
Plumber
Programmer
Psychologist
Religion
Restaurant
Scientist
Seamstress
Security
Skilled Laborer
Survivalist
Therapist
Transportation
Veterinarian

Comments

Please explain, in detail, why you would like to be considered for space in Vivos. Tell us what skills and expertise you have and how you will be a benefit to a Vivos shelter community. This information will assist us in processing your application.

To proceed with your application:

 

If you are unable to proceed to Page 2,
please scroll to the top of the Membership Form and
see a list of missing fields that must be filled out.

All fields must be completed to proceed to Page 2.