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Needs Form for Neighbors Affected by COVID-19: Garfield Park
This form is for residents of the Garfield Park community to request assistance from fellow neighbors in Garfield Park.
Please fill out this form and we will do our best to match you with someone who could meet your need.
*This form is managed by the Garfield Park Community Council and was created on March 30, 2020 and updated on April 9th*
Mobile Phone Number
Where are you located? (To locally match you with someone who can help) Include address if able.
East Garfield Park;
West Garfield Park;
Around the Conservatory;
Around Madison and Pulaski;
What kinds of items are you in need of?
Household supplies (soap, hand sanitizer, toothpaste, paper towels, toilet paper, deodorant)
Children's educational materials for children ages 4 to 7 (books, workbooks, textbooks, computer)
Children's educational materials for children ages 7 to 10 (books, workbooks, textbooks, computer)
Children's educational materials for children ages 10+ (books, workbooks, textbooks, computer)
1 on 1 check-ins (phone call, Zoom, etc to touch base with a neighbor)
Are you able to pick these items up from the Garfield Park Area?
I can pick them up.
I require delivery (There is a senior, child, or auto-immune person in my household)
I require delivery (I do not have access to safe transportation)
What is your age?
0 - 18;
18 - 60;
Do have a COVID-19 related rent/mortgage issue that you would like to discuss?
By submitting this form you consent to have your information shared with a volunteer to help meet your need.
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This form was created inside of Garfield Park Community Council.