Argentina: Get Support due to COVID-19

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Dear community member:

Thank you for reaching out to us. We know asking for help takes strength and it´s one of the bravest things you can do. If your livelihood has been affected and greatly diminished by the COVID-19 pandemic, we are here to help you. In Pandemia de Amor we will try to partner you up with a family or individual that can help you meet your specific needs, economic or of any other sort.

Please use this form to let us know what specific ways our community can come together to help you or anyone you know in this time of need. This form will remain confidential and we will not share your personal information with anyone until you are matched up with your patron.

We ask for your patience, we will do everything within our reach to match you with a patron as soon as posible. We will email you with the contact information of the person or family who will support you and from then on, you will be able to arrange the details with them directly.

We are navigating times that require us to come together and support each other within our community. Together we will create a pandemic of LOVE that will help us free ourselves from the suffering that surrounds us.

May you be healthy, peaceful and safe during these difficult times,

Pandemia de Amor Argentina

PS. Feel free to contact us at pandemiadeamor.argentina@gmail.com for any further assistance.
Share your experience and help us spread this Pandemic of LOVE!!

Select your category: *

Individual / family

I am filling up this form on behalf of a person/family or institution of my community

If you are filling up this form on behalf of someone else, please write YOUR name here and continue filling up the form with the information of the person, family or institution you are nominating *

First Name *

Last Name *

Age *

Phone Number *

Province, city and zip code *

Current occupation *

Workplace *

Number of people who are your direct dependents and their ages *

Are you or any of your dependents part the most vulnerable to COVID-19? (select all that apply) *

Older than 60 years of age

Diabetes

Cardiovascular illnesses

Chronic lung diseases

Immunodeficient

Pregnant

Other:

Required

Briefly describe the negative impact of the pandemic on your life *

Please check off the assistance that would help you at this time (check all that apply) *

Economic support for food

Economic support for medicines

Assistance for online or physical shopping of food and/or medicines

Donation of homemade face masks

I feel lonely and would enjoy talking to someone on the phone

Donation of winter clothing, shoes and/or blankets

I don't speak spanish and need help translating (ex. to make calls to local services, to make orders, etc)

Other

Required

If you checked "other", please specify type of assistance needed

Briefly describe the type of assistance you need and if applicable, please indicate the approximate cost range of the assistance you are requesting *

Is there anything else about your current situation or circumstance that you would like us to know or convey to others?

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