Hot Meals
Distribution contact list for out-of-work "gig" workers due to Covid-19
Do you live in Mid-City (area code 70119)? *
Name *
Email *
Address *
Phone number *
Do you regularly work in the service industry, as an artist or musician, or do you identify as a "gig" worker? *
Have you been laid off, furloughed, or are you otherwise struggling because of the COVID-19 pandemic?  Or, do you anticipate being laid off or furloughed in the near future? *
**After the meal distribution happens, would you like your contact information saved for future distributions, neighborhood events, or other related information? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms