SW Durham COVID-19 Mutual Aid
SW Durham is mobilizing our collective resources and people power in this mutual aid effort to prepare to support our neighbors as disruptions in daily life continue due to the Coronavirus. We are collecting information about our neighborhood so that we can support everyone.

ABOUT MUTUAL AID: Mutual aid is solidarity, not charity. We all have needs and we all have way we can contribute. If we come together in mutual aid, we can look after each other and form a connected network of solidarity that allows us to emerge stronger from the crisis.

IMPORTANT: The personal information you submit in this form will be shared with Block Coordinators in our neighborhood. However, your information will NOT be made public, nor will it be shared with others beyond the neighborhood.

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El barrio SW Durham se está movilizando nuestros recursos y el poder de las personas para prepararnos para apoyar a nuestros vecinos en caso de interrupciones en la vida diaria causadas por el Coronavirus. Estamos recopilando información sobre nuestro vecindario para poder apoyar a todos.

SOBRE LA AYUDA MUTUA: La ayuda mutua es solidaridad, no es caridad. Todos tenemos necesidades y todos podemos contribuir algo. Si trabajamos juntos para la ayuda mutua, podemos cuidar uno a otro y formar una red conectada de solidaridad. Así surgimos mas fuerte después del crisis de COVID-19.

IMPORTANTE: La información personal que incluye en este formulario será compartida con Comunicadores del Barrio en nuestro barrio. Sin embargo, su información NO será compartida con el publico, ni con otra gente afuera de la comunidad.
Name / Nombre *
Phone / Número de teléfono *
Street address / Dirección de casa
Email / Correo electrónico
Number of Residents / Cantidad de Residentes
Does anyone live here matching the following descriptions? / Alguien vive aquí que coincida con las siguientes descripciones?
Clear selection
Are you concerned you will not be able to pay your rent or mortgage next month? / Le preocupa no poder pagar su renta o hipoteca el próximo mes?
Clear selection
SELECT ALL THAT APPLY: Do you need or anticipate needing any of the following during the COVID-19 pandemic? / Necesita o prevé necesitar alguno de los siguientes durante la pandemia de COVID-19?
SELECT ALL THAT APPLY: Do you have the capacity to possibly support [name of your neighborhood] residents during the COVID-19 pandemic with the following? / Tiene la capacidad de apoyar a los residentes de [name of your neighborhood] en el futuro durante la pandemia de COVID-19?
What is a Block Coordinator? / Que es un Comunicador de Bloque?
As a Block Coordinator, you’d take on the responsibility of reaching out to your neighbors, checking in on what needs are arising on your block, coordinating a group chat, and staying in touch with the Block Coordinators from other blocks for resource pooling. We need one or two Block Coordinators for each block in [YOUR NEIGHBORHOOD]. / Como Comunicador de Bloque, asumiría la responsabilidad de comunicarse con sus vecinos, verificar qué necesidades surgen en su bloque, coordinar un chat grupal y mantenerse en contacto con los Comunicadores de otros bloques para compartir recursos. Necesitamos uno o dos Comunicadores de Bloque para cada bloque en [YOUR NEIGHBORHOOD].
Could you be a Block Coordinator? / Podrías ser un Comunicador de Bloque?
Clear selection
If yes, could we share your contact information with others in your block? / Podríamos compartir tu informacion con otra gente en tu bloque?
Clear selection
Do you know of a neighbor who isn't on the [YOUR NEIGHBORHOOD] listserv? If so, please include their information below so we can try to reach out. / Conoces a un vecino quien no esta connectado al listserv de [YOUR NEIGHBORHOOD]? Si conoces a alguien, incluye su información para que podamos contactar a el/ella.
Other information or needs you'd like us to know: / Otra información que desea que sepamos:
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