Phoenix Community Mutual Aid Volunteer/ Volunteer Sign-up
Name (it doesn't have to be your legal name) *
What are your pronouns? *
What's your phone number? *
What is your email address? *
Pls provide one social media  handle. *
Do you have access to a vehicle? *
[Image is a side view of a small green car with a shadow beneath it.]
[Image is a side view of a small green car with a shadow beneath it.]
Please check off what you can offer: *
Required
Are you comfortable picking up prescriptions?
[Image is an orange pill bottle with a white lid and a sticker that says "Rx" in blue, illustrated to look as if there are more lines of text. The background is a teal circle.]
[Image is an orange pill bottle with a white lid and a sticker that says "Rx" in blue, illustrated to look as if there are more lines of text. The background is a teal circle.]
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Do you agree to trust that each person making a request knows their own needs? Can you agree to make deliveries without judgement? *(We will not ask anyone to buy or deliver anything illegal.) If your answer is "Yes, except..." please select Other and list the specific supplies or groceries you are uncomfortable buying / delivering. *
What area of town are you in? (ie Central Phx, Maryvale, Mesa) *
What languages do you speak? Are you able to help us translate writing? Could you interpret a conversation in person or by phone? *This includes spoken and/or sign languages. *
Do you have any accessibility needs you want to share, or need anything else to feel safe providing deliveries?
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Do you have other skills you would be willing to provide? 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? Do you have space for domestic survivors?
Thank you again for taking time to fill out this form. You're encouraged to organize your own support networks, too! Drawing from the brilliance, love and creativity we have for each other, and looking to learn from those showing solidarity globally, 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!
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