HTOC Coronavirus COVID-19 Assistance Form

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This an opportunity to connect friends, family and neighbors in need to those available to help within our community.

Please note that this is being run by volunteers doing their best to connect with everyone. We cannot guarantee timely assistance for everyone and will not be screening for their health. I encourage everyone to take reasonable precautions to keep yourself safe (wash hands frequently, avoid physical contact, stay home if you're feeling sick).

Please contact Deacon Mark Roosien with any questions.
Email: mroosien@gmail.com
Phone: 312-961-6097

Email *

Name *

Best Contact (Email or Phone) *

What do you need? (check all that apply) *

Groceries

Household goods

A ride

An errand run for you

spiritual or emotional support

Other:

Required

Are you able to: (check all that apply) *

pick up groceries/goods

give a ride

run an errand

provide spiritual or emotional support

Required

Submit

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