Whittier Community Mutual Aid
This is for members of the Whittier community to offer skills, resources, supplies, space and time to community members who are affected by COVID-19 and those most vulnerable among us. This is also for members of the community to ask for the help they need.

We need to show up for each other. Especially for those who are at great risk (the elderly, the immunocompromised, those with chronic illnesses, the poor, unhoused folks, undocumented immigrants, those with little to no access to health care). If you need help or are looking to provide help, please fill out this form so we can connect you in the time ahead.

***If you both need help and can provide help, please take the survey twice.***
Sign in to Google to save your progress. Learn more
First Name *
Phone Number *
Email Address
How do you prefer to be contacted?
Do you need help or can offer help?
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse