Lifting Lowellians: Assistance and Mutual Aid NEW FORM LINKED BELOW
Hello! We're glad you found the LLAMA network!
This is a rapidly changing work in progress, and we are glad you are here.

En espanol aqui: www.tinyurl.com/LLAMAParatuayuda

By filling out this form, you are adding yourself and any supports/offerings that you can make to our neighbors. A small group of volunteers will be able to see your name, email address, and what you can offer, and are invited to reach out to you directly for support. Once your offering has been taken up, let us know and we can cross you off of the available offerings list. By signing up as a neighborhood point person, we'll be posting your first name, phone number/email, and approximate location on a public facing map.

Please be aware: We are community folks trying to help each other in an emergency. We are going to do the best we can! But we don't have the capacity to do things like background checks. Use your best judgment.

If there is something you are offering/requesting that is not on this list feel free to email us at: liftinglowelliansmutualaid@gmail.com 

Fill out the form in whatever language you prefer. We will translate.

***hablamos español si prefieres escribir en español***
***نعرف العربية إذا كتبت بالعربية***
***و ما زبان فارسی را می دانیم***
Sign in to Google to save your progress. Learn more
CHECK OUT OUR NEW FORM
Name *
Email
Phone number *
Where do you live? (Will not be shared publicly)
What neighborhood do you live in?
Are you or someone in your household potentially immunocompromised or at risk? : According to the World Health Organization, older persons and persons with pre-existing medical conditions (such as high blood pressure, heart disease, lung disease, cancer or diabetes)  appear to develop serious illness more often than others.
Clear selection
Offers - Check all that apply:
Requests - Check all that apply:
Are there any supplies or food that you could contribute to a communal pool? Please be specific in quantity
Do you need or can you offer housing, short or long term? [room to elaborate in following question]
Clear selection
* If you can Offer or Need housing please elaborate the request or the capacity and other relevant info
Could you contribute money to individuals or to a collective pool?
Clear selection
Would you be interested in helping answer a hotline?
Clear selection
Do you have access to a car / are you open to driving for rapid response or pre-planned deliveries?
Clear selection
Can you be a Neighborhood Point Person (NPP)? This means you’d take on the responsibility of reaching out to your neighbors, coordinating a neighborhood group chat or phone tree, and staying in touch with the other point people for resource sharing.
Clear selection
Do you have capacity to help organize this network? We have several different kinds of roles to fill.
Clear selection
Please feel free to express any concerns, ideas, exclamations, feelings, anxieties, etc. here:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of YWCA of Lowell. Report Abuse