Ward 2 Mutual Aid Sign Up Form
Times that are potentially scary require us to better support one another. In the same way that we bring casseroles to grieving families and baby clothes to celebrate newborns, we can come together as a community to help each other through this difficult time. An essential part of stopping the spread of coronavirus from overwhelming our hospital systems is voluntary self-isolation (https://www.vox.com/2020/3/10/21171481/coronavirus-us-cases-quarantine-cancellation). However, isolation can be difficult without the support of your neighbors. This form will help us provide support to each other!

Please make a check next to all potential supports that you have the capacity to provide. All offers of support will be kept confidential until a need arises. These are non-binding, but more to get a sense of the abundant resources we do have. At the end, please also tell us about potential situations where you might need assistance, so we can start to match up potential needs with potential offers.

At any time, if you need some support (whether or not you have coronavirus), please email W2MutualAid@gmail.com and describe the situation and need. We will happily organize support for your home. All requests for support will be kept confidential except to those providing support.

Please keep in mind this is NOT an emergency support network, and we are community volunteers.

The CDC recognizes community preparedness as an essential part of dealing with this outbreak: https://www.cdc.gov/coronavirus/2019-ncov/community/home/get-your-household-ready-for-COVID-19.html

Thank you!

The person managing this form is Makia, who lives in your neighborhood.
About You
Name *
Your answer
Pronouns *
Your answer
Address or intersection *
Your answer
Email Address *
Your answer
Cell Phone Number
Your answer
What is the best way to contact you? *
What time of day are you more generally available? (Please check all that apply)
Volunteer Roles
There are many ways to support your neighbors. These contributions are divided into three teams:

Outreach and Collection Team - Actively reaches out to folks to identify needs and collect requests in the ward; fundraises and solicits in-kind donations; picks up donations; shops for groceries and supplies

Administrative Team - Keeps track of information related to mutual aid work in the ward (such as donations, volunteers, requests) and manages incoming and outgoing funds

Care and Distribution Team - Fulfills requests around the ward and delivers groceries and supplies and provides individual support to neighbors

**Nothing you sign up for is binding! Please let us know what support you can offer***
I want to join the Outreach and Collection Team and can provide the following support:
I want to join the Administrative Team and can provide the following support:
I want to join the Care and Distribution Team and can provide the following support:
If you want, please elaborate on any of the support you checked above, or list any additional support you want to provide
Your answer
Are there any other supports that you think we should offer that aren't on the list above?
Your answer
Donations are especially needed to serve over 100 seniors in the neighborhood. Please send donations to bit.ly/ward2MA
Are there any supports that you've offered above for which you normally charge as part of your livelihood? Please list each one and your typical rate (while we want to offer these supports to each other for free, we also recognize the potential burden if this is a part of your livelihood, and we would like to make a plan to compensate you, if possible).
Your answer
What are some potential needs that you may have that would make it difficult for you to isolate at home in case of coronavirus (e.g. lack of childcare, need for chronic disease medication, your work doesn't offer paid sick leave, you need regular deliveries due to a mobility disability, you have a personal care attendant for a disability who might also have specific needs as well, financial issues from loss of income, etc.)? What are some non-coronavirus related needs that you might have that currently make life difficult?
Your answer
Are there other communities that you're connected to that would benefit from organizing some mutual assistance?
Your answer
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