DC Ward 5 Community Care and Mutual Aid Volunteer Signup

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We are an all-volunteer, grassroots group of Ward 5 residents dedicated to supporting our neighbors through the COVID-19 Pandemic. We recognize that everyone in our community is experiencing this Pandemic differently. Disparities along lines of race, class, gender, and nationality are exacerbated at this time: leaving many of our neighbors vulnerable to heightened health risks, financial hardship, and state violence. Our mutual aid efforts aim to support our neighbors through this crisis. We provide information, resources, direct support, and advocate for the safety and well-being of Ward 5 residents, particularly those most targeted by state violence and neglect. Our organizing efforts are in alignment and collaboration with the citywide DC Mutual Aid Network.

IF YOU NEED SUPPORT (whether or not you have coronavirus), please email WARD5.MUTUALAID@GMAIL.COM and describe the situation and need. To the best of our ability, we will happily (and quickly) organize support for you, your home, your loved ones. All requests for support will be kept confidential except to those providing support.

For those who are volunteering their services, please take a moment to check out this document for guidelines and tips for safety: https://bit.ly/2TRnhr1

Thank you!

(Huge thanks to Jim Huang from Silver Spring and Takoma DC for the template of this form.)

Email *

Name *

Pronouns *

Pronouns are how we refer to you when we aren't using your name and being talked about (ex: like [she/he/they] wrote me a letter). Some examples of pronouns are (he/him, she/her, they/them).

Neighborhood

This is optional but would be helpful when making drop-offs or providing other support

Phone number *

What kind of phone number is this?

If the number above is a shared number/device with another person please let us know any instructions for contacting you (or how we should ask for you) in the box marked "other"

Mobile/Cell

Home

Work

Shared phone with another person

Other:

Add me to the Slack for Ward 5 volunteers: (This is where we share requests) *

Yes

What time of day are you generally available? (Please check all that apply.)

Morning

Afternoon

Evening

Overnight

Other:

I can provide the following kinds of support (check all that apply):

Meal preparation

Making doctors appointments, calling about medication refills, similar scheduling tasks

Running errands (picking up groceries, medications, etc.)

Signing people up for health insurance

Checking in on disabled/elderly relatives nearby

Pet-sitting, dog-walking, etc.

Emotional support (talking on the phone with someone who is worried, etc.)

Household cleaning (dishwashing, laundry, etc.)

Medical response (fielding calls with medical questions)

Translation (please list language in "other" box)

Translation (ASL)

Transportation

Temporary Housing Accommodation (ex: spare bed, comfortable couch)

De-escalation, conflict resolution, peace-building skills

Religious/spiritual ministry (please list faith tradition in "other" box)

I can make a donation to a common resource fund

Herbal knowledge, consults, or formulas

Other:

If you marked the "running errands" option above, please specify if you have a car or other means of transport to do larger grocery runs, etc., or if you can only do smaller errands (picking up a small number of grocery items, going to the pharmacy, etc.)

Are there any supports that you've offered above for which you normally charge as part of your livelihood? (ex: Providing childcare, house cleaning services, etc) Please list each one and your typical rate (while we want to offer these supports to each other for free, we also recognize the potential burden if this is a part of your livelihood, and we would like to make a plan to compensate you).

Are there any currently available resources for residents of Ward 5 that you'd like to share?

Are there other communities that you're connected to that would benefit from organizing some mutual assistance?

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