Support for Community Members in Hollins Roundhouse
The Hollins Roundhouse community is looking out for each other. We'd like to support you during this time, help you stay healthy, and be able to shelter in place if you're exhibiting COVID-19 symptoms or are worried about compromising your immune system.

Please fill out the form below to be paired with a neighbor close by who can help out.

In all instances of neighbor interaction, please remember to take the recommended precautions:

DO THE FIVE
1) HANDS: Wash them often
2) ELBOW: Cough into it
3) FACE: Don’t touch it
4) FEET: Stay more than 6ft apart
5) FEEL: Sick? Stay home

For the most updated COVID-19 information, visit the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/index.html

All information will be kept confidential. If you are matched with a neighbor who can help, we will notify you.

If you know of an older adult or immune-compromised neighbor that doesn't have access to the internet, please fill out this form with their name and phone number or address so someone from the team can check in with them.

Questions? Please contact Roshelle Kades at hollinshelp@gmail.com or 443-312-9404

Name *
Street/Block
Preferred Contact Method *
Phone number
Email address
I need help with:
Please leave any additional comments about your need
Submit
Never submit passwords through Google Forms.
This form was created inside of Southwest Partnership. Report Abuse