COVID-19 "I CAN HELP" FORM
Thank you for being willing to help your neighbors and community during this time. Fill out the form below, and we will be in contact with you when needs arise!
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What is your name? (First and Last!) *
What is your phone number? *
What is your email? *
You can best contact me by... *
Required
How can you help? (if you have an idea that isn't on this list, please let us know!) *
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When are you available to help?
Please try to select times when you know you are ( almost always ) to ( always ) available to help with physical needs.
MON
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FRI
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Morning
Afternoon
Evening
Night
Is there anything else you want to tell us? *
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