Bexley Volunteer Network Survey
We are creating a network of volunteers who can support their neighbors through mutual aid. Please fill out this form to to assist us in best matching services and resources to needs. If you are aware of Bexley residents who are unable to fill out this form independently, please assist them in doing so or encourage them to contact Elizabeth Ellman, Volunteer Coordinator, at
or (614) 559-4200. Please contact us for further information or questions. Be sure to press "submit" at the end to ensure your responses are recorded.
First and Last Name
Best Method of Contact
May we share pertinent information (phone number, email address, etc.) with your volunteer match?
In the space below, please fill out the areas in which can donate or volunteer a skill or service. Please leave any non applicable items blanks.
Food donation delivery
Via phone, assisting others in purchasing groceries and supplies online
Assisting others with setting up internet access
Are you able to provide one-time or continual support? Please give as much detail as possible (for example: daily support for animal care, weekly food deliveries, one-time transportation to essential doctor appointment).
Please let us know if you are willing to travel outside of Bexley, and if so, how far.
Please share with us any other skills or services you may be able to provide.
Please let us know anything that may be helpful as we find create a volunteer match.
Thanks to Kevin O'Donnell and the Mutual Aid Central Ohio for providing the basis of this questionnaire.
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