ABQ Care Package Application
Families who need extra support during this time of need can fill out the form below to receive a small care package put together by local community organizations.



*PLEASE NOTE*
We are working with limited supplies and are doing our best to restock as resources become available, and deliver them to high-risk community members as quickly as possible. Your patience is greatly appreciated.

*CONFIDENTIALITY DISCLAIMER*
Any information you submit through this form will remain 100% confidential. All information shared will be held in the highest security. We do not share information with government agencies such as ICE.
Email address *
Name *
Your answer
Phone Number *
Your answer
Preferred Contact Method *
Risk Status *
Please expand on your risk status (optional)
Your answer
Care Package Delivery Address *
For our safety, volunteers will not enter your home. Care Packages will be left on porches/door steps
Your answer
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