Olympia Covid-19 Offer Support
We are coordinating food and supply drop offs to people's front doors, and hoping to coordinate other forms of support. Please use this form if you would like to volunteer your support. Thank you!!

We are an all-volunteer grassroots group operating in Nisqually and Squaxin Island territories aka Olympia, Lacey, and Tumwater. As a small group, we are helping to connect people who can offer support with those who need it. We are prioritizing folks who are sick, disabled, quarantined without pay, elderly, undocumented, queer, trans, Black, Indigenous, and/or people of color. Thank you for your patience.

If you would prefer to e-mail us rather than using this form, you can e-mail us at olympiacommunityresilience@gmail.com or olycommunityresilience@protonmail.com .

Joy and Solidarity over Fear and Isolation.


Sign in to Google to save your progress. Learn more
Name and Pronouns *
What you would like to be called and how we should refer to you :)
Contacts *
Please include your e-mail AND phone number, as we will need to send you e-mail responses to this form, as well as reach you via the phone to coordinate.
Do you have access to a vehicle?
Clear selection
No car? How else might you transport supplies?
Feel free to add notes like "I use a bike" or "I would like to pair with someone who has a car" or "I plan to use public transport"
Would you like to help pay for the groceries / supplies?
We do not expect those offering their time and support to pay for supplies, but would like to know if this is an option.
Clear selection
What type(s) of money transfers work for you?
We do not expect those offering their time and support to pay for supplies, but would like to know if this is an option.
Are you comfortable picking up prescriptions?
Clear selection
Are you 21+ with a valid ID?
Clear selection
Generally, what times are you available?
You may also leave more specific day and time schedules in the "Other" write in box.
What neighborhoods would you prefer to deliver to?
Check all that apply :)
Do you have any accessibility needs you want to share, or need anything else to feel safe providing deliveries?
Check all that apply :)
What languages do you speak? Are you able to help us translate writing? Could you interpret a conversation in person or by phone? *
This can be written or spoken languages
Any additional services you'd be willing to provide?
In the near future, we are considering expanding the types of mutual aid we offer. These might include transportation, emotional support, household assistance, childcare, dog walking, petsitting, etc. Please note access details when possible, like: are you able to be scent-free (http://thinkbeforeyoustink.com/howtogofragrancefree.html)? Do you have a wheelchair accessible van?
Any additional specifications, comments, or questions? Any feedback? *
This is a group effort, so any feedback would be greatly appreciated. Feel free to add any additional questions or comments here!
Do you have any other specialized skills (i.e. medical training, or experience with conflict resolution). If so, would you be willing to offer that support? Can you please describe your experience? *
Let us know if you have any specific training that might be useful.
Thank you again for taking time to fill out a support form! We will contact you if and when we match you with a request. There are currently many times more volunteers than requests (thank you!!) so not everyone will be connected through us. You're encouraged to organize your own support networks, too!
We aim to cultivate a politics of autonomy, solidarity, and mutual aid within a long-term, multi-generational horizon of decolonial, anti-capitalist, feminist, queer, and disability liberation.

Close all prisons, juvies and detention centers now!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms