I am a volunteer and can offer assistance
In order to help ensure individuals who are more at risk of developing serious complications from Covid-19 can still meet their basic needs, Berkeley Mutual Aid is offering a matching service between individuals who are high-risk and those who are low-risk for the remainder of the pandemic or until one of the two is no longer in need or able to help.

Once a match is made, you and your buddy can coordinate the delivery of essential supplies, like food, toiletries, and prescriptions. You and your match can also help one another feel less isolated by checking-in on the phone or by other electronic means. Please follow all directions provided by the CDC to mitigate community spread.

This match program is being organized by volunteers for the benefit of those in our community. By completing the sign up form to be matched you agree that you accept all risk and responsibility and further hold any facilitator associated with Berkeley Mutual Aid harmless. For any additional questions, please contact BerkeleyMutualAid@gmail.com

We will do our best to match you with someone in your zip code area as soon as an individual with a request becomes available.
Name: *
What are your pronouns?
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Email Address: *
Phone Number: *
Can you receive text messages at the above phone number? *
Zip Code: *
Neighborhood:
For matching purposes, please identify your neighborhood or the one closest to you.
Clear selection
Are you at lower risk of developing serious complications from COVID-19, as determined by the CDC? *
For the purposes of the matching process, people who are in the lower risk category must be BOTH under 65 years of age and not have any underlying health conditions that mean they are immunocompromised. By selecting "yes" you certify that both these things are true.
Are you willing to be paired with one high-risk individual to assist them until the end of the social distancing period and/or until one individual decides they would like to stop working together? *
What can you assist with? Please select all that apply. *
Required
Do you have access to a car? *
Please provide any additional information about the type of assistance you are interested in providing to your buddy.
SBMAP MEMBERS: PLEASE LIST YOUR CURRENT BUDDY MATCH HERE IF YOU HAVE ONE
Are you currently experiencing any symptoms of illness, including ones that are not expressly linked to COVID-19?
Any symptoms of illness can include a throat tickle, a slight cough, a runny nose, etc.
Clear selection
Are you proficient in any language other than English?
Clear selection
These are some specific needs/requests from folks in our network: Please check any that you are able to offer
Please add me to the "sub" list! *
I agree to add my name to a substitute list that will be shared with other volunteers so that I can be temporarily matched with a buddy.
Waiver: By selecting "I agree" below, I agree that I would like to be contacted by Berkeley Mutual Aid to receive a match and/or be contacted by my match directly. I accept all risk and responsibility including any injury or harms that may result from providing or receiving services, and further hold any facilitator associated with Berkeley Mutual Aid harmless. I agree to follow Berkeley Mutual Aid's Safety Protocols and all rules and orders of government health authorities. I understand that Berkeley Mutual Aid volunteers are not healthcare professionals. If I need medical advice, I will call my physician or 911. *
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