Greater Lafayette Request Support Form 2021
If live in Tippecanoe County, Indiana and you would like food or other supplies dropped off at your front door or a prescription picked up please use this form. We are prioritizing folks who are sick, disabled, quarantined without pay, elderly, undocumented, queer, Black, Indigenous, and/or people of color, but we will get supplies to as many people as possible. We currently have a $50 cap on grocery/supply trips.  

This support is provided entirely by community volunteers in the Greater Lafayette area. While we do our best to stay on top of requests, it does take time to coordinate volunteers for these request. Please expect a week minimum for a response to a request.

Get involved: https://www.facebook.com/groups/187656082663278/
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What is your name? *
What is your phone number? *
What is your email?
Do you live in Tippecanoe County? *
What type of assistance do you need? *
Required
Please let us know what (if any) marginalized identities you occupy
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