Organization Request for Handmade Masks and other crafted PPE items
Let us know how people can help. If you have multiple locations (in different cities, states, etc.), you can either fill out this form multiple times, or get in touch with us as
Thank you for what you are doing. (These items are being made by people across the country at no financial cost to you.)
Who needs these masks
Healthcare Provider (Hospital, Urgent Care, Medical Office)
First Responder and Public Safety
Shelter Services (Homeless/Domestic Violence)
Other Essential Workers (Grocers, Custodians, Pharmacists, Mail Carriers, Food Supply Chain workers, Gas Attendants, Bank Clerks, Sanitation workers)
Other Public Officials (administrators, clerks)
Provide exact address for delivery. Example: Amazing Organization, 123 Main Street, Floor 3, City State, Zip
Do you have a website you want to point people to for sign ups or other important info?
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of Pussyhat Project.