Grand Rapids Area COVID-19 Mutual Aid Form
Para completar este formulario en español, haga clic aquí:
tinyurl.com/GRAMANFormulario
If you need interpretation for languages other than Spanish, click here for instructions:
tinyurl.com/GRAMAN-Interpretation
**** Due to a large volume of requests and a decrease in both fundraising & volunteer capacity, we are not currently accepting new requests for support, with the exception of grocery deliveries if you are able to pay for them yourself, and neighbor-to-neighbor support such as: used furniture or clothes, basic home repair, check-ins for an elder/disabled person, etc. We will be sure to share updates if we are able to receive other requests again! In the meantime, we suggest checking out this list of resources we've compiled:
tinyurl.com/GR-Resources
****
**** We are still accepting offers of support and encourage you to fill out the form if you are able to volunteer in any capacity. ****
Please note that we are only able to serve the cities of Grand Rapids, Kentwood, Wyoming, and Walker. Before filling out this form, please check to make sure whether someone in your household has already done so. If you have already completed this form, regardless of what was requested or offered, you do not need to fill it out again. If you have already been in contact with a member of our team, please reach out to them.
If you have any questions or want to get more involved, you can also contact us at
grmutualaid@gmail.com
! We'd especially love help with intake & coordination. If you want to make a donation to our mutual aid fund, click here:
tinyurl.com/GGRMutualAid
Follow us on Facebook:
https://www.facebook.com/GRAMutAid/
* Required
Name
*
This does not need to be your legal name. Add your pronouns, too, if you want!
Your answer
What is your phone number?
*
Your answer
What is your email address?
*
Your answer
How would you like to be contacted?
*
Call
Text
Email
Required
Are you offering a resource/service or requesting a need?
*
Offering a resource/service
Requesting a need
Required
If you are requesting a need, what are you requesting?
Groceries (delivery only, I will pay for them)
Neighbor-to-neighbor support
If offering a resource/service, what are you offering?
If you'd like to provide financial support, click here:
tinyurl.com/GGRMutualAid
Grocery Delivery
Toiletries
Transportation
Emotional/Social/Spiritual Support
Medical/Health Care Supplies/Support
Contacting neighbors to arrange deliveries (Intake)
Other:
What, specifically, are you offering and/or requesting?
*
Please include as many relevant details as possible!
Your answer
If requesting a need, do you identify with one or more historically marginalized and vulnerable groups, such as: a person of color, undocumented, disabled, elder, poor, and/or LGBTQ?
Your answer
What neighborhood/area are you located in?
*
Your answer
If offering a resource/service, what neighborhoods/areas are you willing to travel to?
Your answer
If offering a resource/service, what is your availability?
Please be as specific as you can.
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Mornings (9am–12pm)
Afternoons (12pm–4pm)
Evenings (4pm–8pm)
Sundays
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Mornings (9am–12pm)
Afternoons (12pm–4pm)
Evenings (4pm–8pm)
Anything else you'd like us to know?
Your answer
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