NYC COVID-19 Need Form
Please use this form to request financial support, quarantine supplies or any other corona virus related needs. We are prioritizing BLACK folk exclusively at this time.

DONATE: https://tinyurl.com/nyccovid-donate


This fundraiser is being run and supported by the NYC Chapter of BYP100, an organization of Black youth activists creating justice and freedom for all Black people through a Black, queer, feminist lens.
Gem (@urdoingreat) is offering social media support.

Questions, updates or want to get involved?
Instagram: @urdoingreat; @byp100
Email: nycblackaid@gmail.com

VOLUNTEER: tinyurl.com/NYCBlackAid
Name *
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Pronouns? *if comfy*
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Your answer
How should we contact you? List phone number, email address, or social media handle. As many as possible! *
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Your answer
Borough/Zip code?
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Your answer
Are you or someone in your care among any of these vulnerable populations?
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If financial support, how much? *up to $200*
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How do you want to receive financial support? Please specify your venmo/cash/paypal username
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Your answer
If supplies, what do you need? Please be as specific as you can. Include dietary restrictions & allergies.
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Your answer
Something else?
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Your answer
Submit
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