Request edit access
Mutual aid assessment
This form is for Q/t/ bipoc individuals who reside in Brooklyn. Who are in need of supplies or have things to offer. Please be specific with your asks.
Name *
Phone Number *
Best way to contact you
Clear selection
What can you offer? *
What are some needs you have? *
If you are requesting seeds, What kind of seeds would you like?
Do you have access to a backyard, rooftop or outdoor space that you can grow food in? *
Would you like assistance with starting a garden? The purpose of starting a garden network is so that when food is harvested it can be distributed to individuals that need access to fresh vegetables, food will be portioned out ( you will get a portion of course) and the rest will be redistributed.
Clear selection
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy