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COVID-19 "Offer Support" Volunteer Form for Chinatown International District
We are coordinating food and supply drop offs to residents in the CID neighborhood. Please use this form if you would like to help make deliveries. Thank you!!
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Email *
Name, pronouns *
Organization (if any)
What is the best way to contact you? (email, phone) *
Please enter the product number
What is your phone number? *
What is your email address?
Do you have access to a vehicle?
Clear selection
If you do not have access to a vehicle, how far are you willing to walk from bus lines? Carrying how much weight?
Do you need to be paid for your transportation or time?
Clear selection
Would you like to help pay for the groceries / supplies?
Clear selection
What type(s) of money transfer work for you?
Are you comfortable picking up prescriptions? *
Are you 21+ with a valid ID? *
Do you agree to trust that each person making a request knows their own needs? Can you agree to make deliveries without judgement? *
What city/neighborhood do you live in?
What neighborhoods do you prefer to deliver to?
Clear selection
Generally, what times are you available?
What languages do you speak?
Do you have any accessibility needs you want to share, or need anything else to feel safe providing deliveries?
Do you have other skills you would be willing to provide?
Any additional specifications, comments, or questions?
Thank you again for taking time to fill out a support form! We will contact you if and when we match you with a request. - InterIm CDA
This form is modeled from the inspiring work of COVID-19 Mutual Aid:
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