Cambridgeport Support Form
In this time of social distancing, we can still help one another. Do you need help from a neighbor? Are you available to help others? Please fill out this form and we'll try to connect you.
Here's how it works: the Cambridgeport Neighborhood Association board will monitor responses to this form and "match" people who need help with those who offer to provide it. If we find a match for you, we'll connect the two of you over email. The two of you can take it from there.
Information collected will be accessible to CNA Board members. Personal information (name and contact info) will be shared with your match. This is not a guarantee of services, and we are not able to independently vouch for the services offered. We are simply connecting people, and ask that you use your own judgment on what services you are comfortable providing and receiving. Please stay safe, distant, and kind.
We encourage you to share this form with your friends and neighbors in Cambridgeport.
If you have questions about this form, please email
cambridgeportna@gmail.com
For a wide variety of resources and information, visit the city's Coronavirus website at
https://www.cambridgema.gov/COVID19
* Required
First and Last Name
*
Your answer
Email address
*
If you are matched, we will inform you through email. We will share your contact information with your match so that the two of you can connect.
Your answer
Phone number
Optional - if provided, this will be shared with your match as another way of getting in touch.
Your answer
If you are able to PROVIDE help:
(Leave either or both questions blank if you are not looking to provide help at this time.)
I can help by...
Select all that apply
Grocery pickup and delivery
Prescription pickup and delivery
Chatting on the phone to provide company
Answering basic legal questions (about jobs, housing, etc.)
Helping set up useful technology (video chat, grocery delivery, etc.)
Making a homemade mask
Other:
I may have extra items that are in short supply in stores
Select all that apply
Toilet paper
Paper towels
Hand sanitizer
Other:
If you are looking to RECEIVE help:
(Leave either or both questions blank if you are not looking to receive help at this time.)
I need help with...
Select all that apply
Someone to pick up my groceries
Someone to pick up my prescriptions
Someone who could keep me company on the phone
I have basic legal questions (about jobs, housing, etc.)
Someone to help me set up useful technology (video chat, grocery delivery, etc)
Getting a homemade mask
Other:
I urgently need something that I cannot find in stores:
Select all that apply
Toilet paper
Paper towels
Hand sanitizer
Other:
One more (optional) question:
Anything else you think we should know?
Your answer
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