Bearbeitungszugriff anfordern
Contribution Form for Neighbors Affected by COVID-19: Garfield Park
This form is for neighbors of the Garfield Park community to offer skills, resources, supplies, space, and time to community members who are affected by COVID-19 and our most vulnerable residents.

Please fill out this form and we will do our best to match you with someone who could benefit from your contribution.

*This form is managed by the Garfield Park Community Council and was created on March 30, 2020 and updated on April 9th*
In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen
E-Mail-Adresse *
Your Name *
Mobile Phone Number *
Where are you located? (To locally match you with someone in need) *
Pflichtfrage
What kind of donation can you offer?
Are you able to deliver your donations to a household in the Garfield Park area?
Auswahl löschen
Can you deliver food from a pantry to a household in need in Garfield Park ?
Auswahl löschen
Can you place an online order for a household in need in Garfield Park?
Auswahl löschen
Questions/Comments/Suggestions?
Senden
Alle Eingaben löschen
Geben Sie niemals Passwörter über Google Formulare weiter.
Dieses Formular wurde bei Garfield Park Community Council erstellt. Missbrauch melden