JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Everyone Needs Help
Identify your need so your community can stand with you. Everyone needs help and everyone can help. If you want to help please fill out this form: https://forms.gle/MGFkS5DLeFU8hBh4A
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Phone Number
- We will use your phone number to find you on Signal.
Your answer
Hunger
I need to eat more regularly
I don't like to eat alone
Education & Mentorship
I need tutoring & education support
I need help stretching dollars and tracking down assistance
I need tech support
Things are not ok and I need to talk
Day to Day Community Care
I need a ride to work or to the doctors.
I need help with my children
I can't afford to fix something at my home
Community Advocacy & Engagement
There is an urgent need for the people to have their voice heard at a public meeting
I just learned about a situation that could use group attention.
I need help making government and legal jargon understandable
I need help but I am afraid to involve law enforcement
I need legal aid or an advocate
I need help with language translation/interpretation
Other
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report