Request edit access
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*
Mobile Phone Number
Where are you located? (To locally match you with someone in need)
East Garfield Park
West Garfield Park
Around the Conservatory
Around Madison and Pulaski
What kind of donation can you offer?
Household supplies (soap, hand sanitizer, toothpaste, paper towels, toilet paper, deoderant)
Buy an Instacart gift card for a family who can't leave their house
Children's educational materials (books, workbooks, textbooks, old laptop/tablet/computer)
Children's educational materials for children ages 4 to 7
Children's educational materials for children ages 7 to 10
Children's educational materials for children ages 10+
1 on 1 check-ins (phone call, Zoom, etc to touch base with a neighbor)
Are you able to deliver your donations to a household in the Garfield Park area?
Can you deliver food from a pantry to a household in need in Garfield Park ?
Can you place an online order for a household in need in Garfield Park?
Never submit passwords through Google Forms.
This form was created inside of Garfield Park Community Council.