Northern Virginia COVID-19 Support Sign-Up
Thank you for your interest in providing support to address urgent needs here in Northern Virginia!

As is the case in any crisis, the impact of COVID-19 is hitting the most vulnerable and marginalized among us the hardest. Indigenous and undocumented migrant communities are being excluded from relief efforts at the county, state, and federal levels, as well as many nonprofit-led initiatives.

Organized by grassroots organizations with close ties to affected communities, this effort is meant to close the gap by providing direct support to those most in need: individuals and families who find themselves suddenly out of work; at home taking care of their children; without safe and affordable transportation; unable to access food and medical care; unsure how to afford rent; and in some cases, unable to even understand what is happening due to language exclusion.

There are two ways to offer support:

1) Signing up below to volunteer

Given the ever-changing nature of this crisis, upon completion of this form, we will contact you to coordinate details and logistics

2) Donating money to organizations directly supporting community members

LaColectiVA | Venmo: @LaColectiVA |
International Mayan League | Venmo: @Mayan-League |
First Name *
Last Name *
Email Address *
Phone Number *
I want to support individuals and families in: *
I want to: *
I am able to provide the above support as soon as: *
I am interested in providing support on an ongoing basis: *
I am interested in being added to the email list for: *
I affirm I am not a member of the media or press, a prosecutor, a law enforcement official, or an employee of the Department of Homeland Security. *
If you have any questions, please share them here and we will do our best to address them:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy