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Community Response to Afghan Arrivals
Please fill out the information below in order to build a coordinated response for the arrival of Afghan families and newcomers.
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* Indicates required question
Name (first, last):
*
Your answer
Are you representing an organization or volunteering as an individual?
*
Organization
Individual Volunteer
If you selected organization, what organization do you represent?
Your answer
What is your role at your organization?
Your answer
Email
*
Your answer
Phone
*
Your answer
Language Capacity (either as an agency or individual)
*
Dari
Farsi
Pashto
English
Other:
Required
In what capacity would you like to be involved?
*
Volunteering for Community Response Teams
Donating to Community Response Fundraiser
Both Volunteering & Donating
Are you Afghan?
*
Yes
No
Prefer not to say
Have you worked with refugees before?
*
Yes, with Afghan refugees
Yes, but not with Afghan refugees
No
Prefer not to say
If you have worked with refugees before, in what capacity?
Your answer
From your perspective, what are the top 3 problems that need to be addressed as we develop our community response?
Your answer
Which response team would you like to join as your first choice?
*
None: only interested in donating
Housing
Legal Services
Case management (public benefits)
Health and wellness/mental health
Volunteer/in-kind donations
Fundraising
Other:
Which response team would you like to join as your second choice?
*
None: only interested in donating
Housing
Legal Services
Case management (public benefits)
Health and wellness/mental health
Volunteer/in-kind donations
Fundraising
Other:
If you answered "health and wellness/mental health," please indicate the type of services you can provide (check all that apply):
Psychiatry
Clinical psychology/social work-family therapy
Occupational Therapist
Nursing
Art Therapy
Nature Therapy
Physical Therapy
Wellness services (workshops/support groups)
Prevention counselling (peer counselors)
Sports/physical activities
Other medical services
Other:
What resources can you or your agency provide?
Your answer
For individual volunteers, how much time are you able to offer?
*
Your answer
Questions/Comments
Your answer
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