Neighbor In Need
If you are aware of a neighbor in need, please complete the following form. A number of resources are available but oftentimes, our most vulnerable populations don't have access to a computer, smartphone, internet, etc. to be connected to them.
As an association of compassionate and connected neighbors, we are hoping to come together to ensure no neighbors fall through the cracks during this difficult time.
If you are a neighbor that is able-bodied, without symptoms, and willing to partake in volunteer activities such as delivery/transport of goods, making phone calls, providing other resources, etc. please complete this form as well.
Are you VOLUNTEERING to assist or SUBMITTING A NEIGHBOR IN NEED?
Submitting a Neighbor in Need
Your First & Last Name:
Best way to contact you (enter email or phone number):
Neighbor's First & Last Name (enter NA if you're only interested in volunteering and are unaware of a neighbor in need):
Please share the neighbor's best contact information:
Please check all volunteer activities you are willing to complete:
Pickup/Delivery of Pre-Paid Goods (within Midtown)
Walking/Exercising with a Neighbor in Need (within Midtown)
Making 5-Minute Phone Calls to a Neighbor in Need
Decorate Sidewalk with Sidewalk Chalk (chalk provided/within Midtown)
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Meridian Kessler Neighborhood Association.