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.

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.

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
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy