Benton County COVID-19 Volunteer Availability Form
Please use this form if you would like to make deliveries, give rides, or offer child/ elder/ dependent care.

COVID-19 is a real demonstration of the failure of current systems and authorities to take care of people. We can't rely on them - we protect us. Can you help?

These efforts are the work of the CGE Mutual Aid Caucus and the Benton County Family Response Team. CGE Mutual Aid Caucus is a group of graduate employees at Oregon State University and community allies dedicated to the building of community support networks and helping each other. Benton County Family Response Team is a group of local parents and activists that formed in response to the unprecedented community threat of COVID-19. We are coordinating together and with other local groups in the traditional homelands of the Kalapuya people, the living descendants of whom are members of Confederated Tribes of the Grand Ronde Community of Oregon (https://www.grandronde.org) and the Confederated Tribes of Siletz Indians (http://ctsi.nsn.us). 
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Name *
Does not have to be your legal name
pronouns *
Required
Best contact (phone# or email address) *
If you give a phone number, please specify whether your prefer call or text.
Are you currently experiencing symptoms, or do you know if you've been personally exposed to COVID-19? *
If you have any symptoms or you've been in contact with anyone diagnosed with COVID-19, please self-quarantine and do NOT risk spreading anything to our more vulnerable community members!
What can you offer? *
Please remember that if you are sick or have been exposed to COVID-19, you should self-quarantine. While we'd love your help, we do NOT want to spread infection, especially to already vulnerable members of our community. Stone Soup provides one full meal each day to anyone who needs it. Breakfast - Sat; lunch - Wed, Fri; dinner - Mon, Tue, Thr, Sun. The Corvallis Daytime Drop-in Center, a daytime community shelter for people experiencing homelessness, is looking for non-vulnerable, temporary volunteers to help out at the organization between 8am-3pm with numerous tasks from food prep and service to cleaning to guest registration upon arrival. Hours can be flexible.
Required
Do you need to be paid for your transportation or time? *
We want to ensure that those who want to provide mutual aid do not face undue burden.
What is your transportation?
Clear selection
If you checked food share/ meal prep, are there any restrictions or requirements to what you are able to prep?
kosher, vegan, food allergies, etc.
Would you like to help pay for the groceries / supplies?
Again, we want to ensure that those who want to provide mutual aid do not face undue burden and we absolutely do not expect you to spend money if you are financially limited.
Clear selection
If you checked child/ elder/ dependent care, do you have experience?
If you checked rides, do you have a wheelchair accessible vehicle?
Clear selection
If you checked communication, are you willing to:
If you checked laundry, do you need reimbursement for coins/ water/ electricity costs?
Clear selection
If you checked laundry, can you pick up and drop it off, or do you need someone to transport it?
Clear selection
Are you 21+ with valid ID? *
Where are you located or willing to travel to do this work?
Do you agree to trust that each person making a request knows their own needs? Can you agree to support people without judgement and a respect for their privacy? *
(We will not ask anyone to buy or deliver anything illegal.) If your answer is "Yes, except..." please select Other and list the specific supplies or groceries you are uncomfortable buying / delivering.
What languages do you speak? Can you help us translate, if needed? *
What do you need to feel safe while doing this mutual aid work?
Do you have any other skills you would like to provide?
We may look into expanding the types of mutual aid we offer, depending on what people ask for and offer.
Any other comments or questions?
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