Navajo & Hopi Families COVID-19 Relief Volunteer Form
We are coordinating food and supply drop-offs. Please use this form if you would like to help purchase food and supplies in off-reservation grocery stores, sort and sterilize items purchased, assemble food baskets, transport food from Phoenix, Albuquerque, or other cities to Navajo Nation or Hopi food banks, deliver food to Chapter Houses, NHA Offices, homes, or other points of distribution. Other volunteer opportunities include the sewing of masks, hunting, or chopping and hauling wood. Thank you!!

ABOUT US: We are an all volunteer grassroots indigenous led group operating on the Navajo and Hopi Reservations. We are prioritizing the elderly (especially those raising their grandchildren), single parents, and struggling families by helping them buy groceries, water, and health supplies, and by protecting them (and their vulnerable communities) from exposure by engaging volunteers to make the purchases and deliver them to a safe transfer location for the families. Thank you for your grace and patience.

Questions, updates or want to get involved?

FACEBOOK GROUP PAGE: https://www.facebook.com/groups/214813476301051/
EMAIL: NavaHopiCOVID-Volunteers@gmail.com
PHONE NUMBER: 833-956-1554

DONATE:https://www.gofundme.com/f/navajo-amp-hopi-families-covid19-relief?utm_source=customer&utm_medium=copy_link-tip&utm_campaign=p_cp+share-sheet
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Name (provide full legal name) *
Phone Number *
Email Address (if applicable)
What Chapter, city, or community do you live in? *
What is your mailing address? *
Any notes on how we should contact you? (text, email, etc.) *
Please indicate what type of volunteering you can do *
Do you have access to a vehicle? *
If you are willing to allow use of your vehicle to haul supplies, please indicate what type of vehicle you have: *
If you are willing to allow use of your trailer to haul supplies, what type of trailer do you have? *
Do you have a food handlers permit? *
Do you have any relevant training such as medical, CERT/ALERT, emergency response, etc.? If so, explain.
If you speak Navajo or Hopi, please indicate what translation services you can provide:
This includes spoken and/or sign languages.
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Would you like to help pay for the groceries / supplies? *
Again, we want to ensure that those who want to provide mutual aid do not face undue burden and we absolutely do not expect you to spend money if you are financially limited.
What types of money transfer work for you?
This does not need to be your legal name. Add your pronouns, too, if you want!
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Are you comfortable picking up prescriptions? *
We will help coordinate any paperwork needed and pharmacy location.
Are you 21+ with a valid ID? *
Do you agree to trust that each person making a request knows their own needs? Can you agree to make deliveries without judgement? *
(We will not ask anyone to buy or deliver anything illegal.) If your answer is "Yes, except..." please select Other and list the specific supplies or groceries you are uncomfortable buying / delivering
Generally, what times are you available? *
Do you have any accessibility needs you want to share, or need anything else to feel safe providing deliveries
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Do you have any relevant training such as medical, CERT/ALERT, emergency response, etc
Do you have any other skills that you think would be relevant? If yes, please list below:
Thank you again for taking time to fill out a support form! We will contact you if and when we match you with a request.
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