MECCA's Community Closet Registration
PROVIDING SUPPORT TO MORNINGSIDE, EAST ENGLISH VILLAGE, & CORNERSTONE VILLAGE RESIDENTS IN NEED. By registering to receive donations from MECCA's Community Closet you agree to hold harmless MECCA Development Corporation and the donating Corporations from any liability resulting from the donations received.
How did you hear about MECCA's Community Closet? *
Your answer
First Name *
Your answer
Last Name *
Your answer
Home Address *
Proof of Address is required in the form of a utility bill. (Recipients must live in MorningSide, East English Village, or Cornerstone Village neighborhood except for emergency circumstances-illness or fire.)
Your answer
Email Address *
Your answer
Phone Number *
Your answer
How many people are in the household? (Report card or driver's license is required for all occupants.) *
Required
Age of people in the household. (Please provide the age of everyone in the house.)
Person 1
2
3
4
5
6
7
Age 0-5
6 - 9
10 - 13
14 - 17
18 - 25
26 and older
What is your family's greatest need? *
What causes your need? *
To be completed by a MECCA Development Corporation representative
To be completed by a MECCA Development Corporation representative - Please indicate the large items obtained.
Small Appliance
Bedding
Vacuum Cleaner
Coat
Baby Item
Other
Dec 2019
Jan 2020
Feb 2020
Mar 2020
Apr 2020
May 2020
Jun 2020
Jul 2020
Aug 2020
Sep 2020
Oct 2020
Nov 2020
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