COVID Health and Support Resources
Many families are negatively impacted by the impact of the COVID-19 pandemic. We are working with organizations to connect people in need with resources available in Milwaukee. Completing this form will make it easier for us to keep you in-the-know about resources as they become available.
* Required
Email address
*
Your email
Phone Number:
Your answer
First Name
*
Your answer
Last Name
*
Your answer
What is your zip code?
*
Your answer
Age
18-25
25-35
35-45
45-55
55-65
65+
Clear selection
What is your gender?
*
Male
Female
Other:
What is your race?
*
Black
White
Hispanic
Native American
Other:
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