Clearview Residents COVID-19 Help Request
Please fill out the form if you are in need of a volunteer to help you during this time of physical distancing. This form is for residents at risk and needing assistance. It is accessed by 3 administrators and your information is not public. [a volunteer will contact you to get your shopping list or learn more about what support you need. ]
What is your request ? *
If you have answered other , please specify the help needed.
Your answer
Please list any information that will be helpful for us to support you better.
Your answer
Contact info
Your name *
Your answer
Phone number *
Your answer
E-mail
Your answer
Preferred contact method *
Required
Questions and comments to administrators
Your answer
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