The Mom Collective - Nominate A Mother

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Your Name (leave blank if you'd prefer to stay anonymous)

Your email so we may follow up with you for support. *

Your phone number so we may follow up with support. *

Is this phone number a safe communication line where we can leave a Voice Mail, if necessary?

Yes

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What is the name of the mother you would like to nominate? *

How can The Mom Collective help this mother? *

Please help us understand the nominee’s current situation by selecting the level of concern for each area. Your responses are kept confidential and will be used only to help us respond with care and compassion. *

Severe Concern

Moderate Concern

Mild Concern

Stable

Food Access

Housing Stability

Personal Safety/Domestic Relationship Concerns

Mental Health & Emotional Well-being

Financial Strain

Health & Medical Needs

Are there any other details you'd like to provide?

Next Steps

Upon receiving your nomination form, we carefully review the details and then schedule a 15-minute call with one of our volunteers. While our structure enables us to assist one mother at a time, please understand that immediate action may not always be feasible. We strive to provide support to as many mothers as possible, and we hope that the resources we share will be beneficial during any current crisis.
In the meantime, here is a link to the resources section of our website which includes local information about feeding your family, housing, mental health, and career support: https://themomcollective.ca/how-to

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