Queens NY COVID-19 "Volunteer" Form
We are an all-volunteer grassroots group operating in the various neighborhoods of Queens. We want to help folks who are sick, disabled, quarantined without pay, elderly, undocumented, immigrant, queer, Black, Latinx, Indigenous,  -- including those displaced in nearby areas like Long Island.  

Please fill out this form if you would like to help us coordinate food and supply drop-offs to people's front doors. Please use this form if you would like to help make deliveries. Thank you!

If you can't deliver things but would like to help people fill out forms for government assistance, financial grants, fill out this form.

If you can provide legal support, fill out this form! Thank you.

If you're looking for help please email qnsmutualaid@gmail.com or fill out this form with your info.

This list will only be shared with others doing mutual aid work and folks who need mutual aid. We won't use or share your info for any other purpose.

Stay strong and be safe! We are doing our best to respond to new developments as quickly as we can. Please bare with us.  
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Name   *
This does not need to be your legal name.
How do we get in touch with you? *
Please give several options if possible.
Cell Phone Number *
What is your email address? *
Do you have access to a vehicle?
Clear selection
Do you need money for transportaion?
We want to ensure that those who want to provide mutual aid do not face undue burden.
Clear selection
Would you like to help pay for groceries/supplies?
We want to ensure that those who want to provide mutual aid do not face undue burden and we absolutely do not expect you to spend money if you are financially limited.
Clear selection
What type(s) of money transfer work for you?
Are you comfortable picking up prescriptions?
We will help coordinate any paperwork needed and pharmacy location.
Clear selection
Are you 21+ with a valid ID?
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What's your address? *
Doesn't need to be your actual home address, could just be an address nearby. This is only for the purpose of matching you with someone closest to your neighborhood. Please include zipcode.
What neighborhoods would you prefer to deliver to?
List as many as you can.
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Are you able to make a financial donation to someone in need?
Can you help people fill out forms for government assistance and unemployment?
Clear selection
Can you provide legal support?
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What languages do you speak? Are you able to help us translate writing? Could you interpret a conversation in person or by phone? *
We are using WhatsApp to form local neighborhood groups, are you willing to learn how to use it and would you be interested in forming one for your block or neighborhood?
Clear selection
Any additional specifications, comments, or questions?
Clear form
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