Volunteer/Supplies Request Form

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This is an unofficial community outreach form to connect our cities smaller shelter and support efforts to volunteers and those willing to donate time or supplies.

If you represent a shelter, business or location that needs support, we are using this to mobilize local efforts to go directly to facilities in need.

Please include information in all columns. This information will populate a spreadsheet to be shared to with the community to help coordinate the cities micro support efforts.

Database Contact:
Kristofer Shelton
(713) 906-7226
em4kcs@gmail.com

Supplies Needed

Clothing/Blankets/Socks

Blankets/Pillows

Cots/Air mattress/Bedding

Canned/Dry Food/Pasta/Salt Free Seasonings

Bottled Water

Prepared Meals (Delivery from restaurants and kitchens)

Toys/Games/Books

Medical Supplies

Cleaning Supplies

I have... (note items in other)

Other:

Volunteer Support

I need Volunteers

I want to Volunteer

I need Medical and Social Workers

I am a Medical or Social Worker

I need Bilingual Volunteers (note languages in other)

I am a Bilingual Volunteer (note languages in other)

I need Drivers (Transport supplies or personnel)

I am willing to drive

Other:

Coordinator's Contact Name *

Coordinator's Email *

Location Address *

Coordinator's Phone number

Additional Needs / Comments

Submit

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