Greater Prospect Heights Mutual Aid/Services Sign-Up
**UPDATE: TO REQUEST SUPPORT OR VOLUNTEER WITH GPHMA, PLEASE VISIT https://www.gphmutualaid.com/request-assistance**

Dear Neighbors:

In these fast moving and uncertain times, it’s important that we show up for each other and remember that we are not alone. More than ever we need to turn to each other for assistance, because it truly does 'take a village.'

Please complete this form if you are looking for assistance or want to provide support for neighbors.

*Personal/contact information will not be share publicly. However, we will connect you with support and therefore contact information may be shared with a neighbor for that purpose only.*
First Name *
Last Name *
Email Address *
Phone Number *
Location (ideally, street address so we can accurately map neighbor locations, but your street name with cross streets will also suffice) *
Are you interested in being a Block Captain?
This means you’d take the lead in reaching out to the neighbors on your specific block (in some cases, this could be in partnership with the Block Association), and otherwise coordinate support efforts for your block. Let us know if you're interested.
Clear selection
Are you looking for services or to provide support? *
Required
What do you need help with? Select all that apply.
What can you offer? Select all that apply.
Do you have access to a car?
Clear selection
Submit
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