Culture Aid Nola Aid Request Form
Have you been affected by the 2020 COVID 19 restrictions? Do you need help accessing resources? Please fill out the form below.

No paperwork needed.

We are a working group of volunteers and service organizations. We make no guarantees of aid. We will not publish your information. We will never sell your information.

Sign up here to be notified when we announce distributions.

Email address *
Name *
Your answer
Job title (Bartender, server, cook, dishwasher, musician, etc.) (Not required)
Your answer
Place (or former place) of employment (not required)
Your answer
Specific Need *
Neighborhood (not required)
Your answer
Thoughts or comments
Your answer
Thank you for submitting. We cannot guarantee assistance, due to the possibility of limited volunteers and supplies. We will contact you if we can render assistance as soon as possible.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy