Ward 4 Community Care and Mutual Aid Signup
WARD 4 MUTUAL AID HOTLINE: (202) 681-3098
Times that are potentially scary require us to better support one another. In the same way that we bring casseroles to grieving families and baby clothes to celebrate newborns, we can come together as a community to help each other through this difficult time. An essential part of stopping the spread of coronavirus from overwhelming our hospital systems is voluntary self-isolation (
). However, isolation can be difficult without the support of your neighbors. This form will help us provide support to each other!
Please make a check next to all potential supports that you have the capacity to provide. All offers of support will be kept confidential until a need arises. At the end, please also tell us about potential situations where you might need assistance, so we can start to match up potential needs with potential offers.
At any time, if you need some support (whether or not you have coronavirus), please email
and describe the situation and need. We will happily (and quickly) organize support for your home. All requests for support will be kept confidential except to those providing support.
Ward 4 Mutual Aid
P.S. Many people don't have a lot of experience with asking for help -- especially from neighbors we haven't met yet. But community care is essential to survival and comfort especially during hard times. Together, we can make sure everyone in our neighborhood has what they need.
Huge thanks to Jim Huang from neighboring Silver Spring for the template of this form. If you'd like a blank copy for your neighborhood, please feel free to email us -- any and all of this can be replicated without permission.
Address (optional, but would be helpful)
Email Address or Cell Phone Number or other electronic contact method
What time of day are you more generally available? (Please check all that apply)
I can provide the following supports: (Please check all that apply)
Meal preparation (large batches)
Making doctors appointments, calling about medication refills, similar scheduling tasks
Running errands (picking up groceries, medications, etc.)
Signing people up for health insurance
Childcare (experienced care for a child with high or specialized needs)
Check in on elderly and/or disabled relatives nearby
Emotional support (e.g. talking over the phone with someone who's worried)
Spare bed or comfortable couch
Translation (Please list language under the "Other" option below)
De-escalation, conflict resolution, peace-building skills
Religious/Spiritual ministry (please list faith tradition below in the "Other" box)
I can help donate to a common resource fund
Are there any other supports that you think we should offer that aren't on the list above?
Are there any supports that you've offered above for which you normally charge as part of your livelihood? Please list each one and your typical rate (while we want to offer these supports to each other for free, we also recognize the potential burden if this is a part of your livelihood, and we would like to make a plan to compensate you).
What are some potential needs that you may have that would make it difficult for you to isolate at home in case of coronavirus (e.g. lack of childcare, need for chronic disease medication, your work doesn't offer paid sick leave, you need regular deliveries due to a mobility disability, you have a personal care attendant for a disability who might have specific needs as well, financial issues from loss of income, etc.)? What are some non-coronavirus related needs that you might have that currently make life difficult?
Are there other communities that you're connected to that would benefit from organizing some mutual assistance?
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