Resource Supply Form

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To submit a resource (good or service) as a supply to be allocated to members of our community in need, fill out this form and it will be submitted via email to the D5 Resource Forum website volunteers. Please be as specific as possible in your submission as well as a time frame you can provide the resource. You will need to provide an email or phone number for us to contact you, at this stage. You will be contacted to confirm receipt of your submission and again to connect with you with the community member in need of the resource.

The form asks some OPTIONAL questions we think will be useful in gathering in helping to build this project. You are under no obligation to answer the optional questions. Failing to answer the optional questions will not affect how your request is treated. (only the first 2 questions are required)

Please list the resource(s) you are providing, please be as specific as possible and include a time frame you can provide or make available the goods or services. *

Please provide a name and either phone number or email address for us to reach you. *

Optional Question 1: Do you live in D5?

Yes

Temporarily

Unhoused

Other:

Clear selection

Optional Question 2: Do you work in D5?

Yes

Temporarily

Unemployed

Other:

Clear selection

Optional Question 3: Do you rent your home?

Yes

Other:

Clear selection

Optional Question 4: Do you want to help us build this forum and community project?

Yes

Unsure

Other:

Clear selection

Feel free to ask any questions or share any information below, including ways this form or website can be improved based on your experiences. Thank you.

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