Request edit access
Santa Fe COVID-19 Mutual Aid Form
Times seem really wild and unpredictable right now and we can isolate and hoard or possibly find a way to stay in community and help each other out. Safe distancing is important, but so is solidarity.
Here's the idea: pair those in need in Santa Fe with those able to help by filling out this form. We'll do our best to match offers with requests.
This effort was launched by Raashan Ahmad/Beth Gutelius two community members who teamed up with organizers with Earth Care YUCCA/Red Nation/Santa Fe DSA/Fathers NM. The network now includes hundreds of volunteers including a hand-full of dedicated intake callers - who call every person who makes a submission so that we can connect you, our fellow community members, to all the resources we know of as well as the resources of the network.
This is a people-powered initiative by and for ALL people in our community regardless of race, creed, country of origin, immigration status, gender, sexuality, etc. We believe in the practice of solidarity and principles of equity and economic justice and are excited to be sharing and redistributing resources in this time of need.
If you have questions or suggestions contact us at
FIND THIS FORM IN SPANISH AT/Encuentre el formulario aqui:
FIND A DAILY UPDATED LIST OF RESOURCES THAT MAY BE HELPFUL RIGHT NOW REGARDING FOOD, ECONOMIC ASSISTANCE, CHILDCARE, HOMESCHOOLING, ETC AT
*IF YOU ARE IN A RISK CATEGORY, PLEASE KEEP YOUR OWN SAFETY IN MIND IF OFFERING HELP*
This does not need to be your legal name. You can also add your pronouncs if you want!
You can also add your pronouns if you want!
Do you have texting
Are you offering a resource or requesting need?
Offering a resource
If requesting a need, what are you requesting?
Food/Suppply Pickup and Delivery
Food Assistance (grocery fund, food boxes, etc)
Resources regarding lost wages and financial assitance
By when do you need this support?
If offering a resource, what are you offeing?
Grocery/Supply Pickup & Delivery
What is your availability to offer this support? (do you have scheduling constrainsts? certain days work better than others, frequency, etc)
Do you have specific professional skills you can donate to those in need at this time?
Further details regarding your need or offer
Are you in a risk category? (immunocompromised, chroic condition including asthma, hypertension, diabetes, etc)
Please share relevant information about your health condition
Do any of the following apply to you?
Please answer honestly. We will not ignore you on the your response to this, we just need to know so we can act accordinly.
I have COVID-19 symptoms (cough, fever, shortness of breath)
I am sick in some other way (cold, flu, anything)
In the last 2 weeks, I have travelled by plane
In the last 2 weeks, I have been in contact with someone who is now quarentine
In the last 2 weeks, I have been in contact with someone who has COVID-19 symptoms
NONE of these apply to me
Help us organize! We need people to help connect offerings to needs
Yes, I can help!
I can't help
We're looking for donations to support those in need in our community. Are you in a position to make a donation to support mutual aid work around COVID-19?
Yes, I can probably donate
Yes, I may not be able to donate, but can amplify the ask
I am not able to help out in this regard
What languages do you speak?
Which neighborhood do you live in?
Nort of Airport Rd.
South of Airport Rd.
Around Rodeo Rd.
Santa Fe Community College Area
Santa Fe High School Area
Cordova/Trader Joe's Area
Gonzales/North of Alameda
Las Vegas Highway Area
Santa Fe Trail/South of the Capitol
Santa Fe County
Do you want to join a working group
Work Projects - Neighborhood Pantry construction, volunterr at pantries, prepare food boxes, etc
Neighborhood outreach - flyer distribution, point of contact for your nrighborhood
Resource Development - help us fundraise, enlist people in #sharemycheck campaign and help with backend administration
Can you #shareyourcheck from federal stimulus bill with members of our community who will not qualify for federal aid due to immigration status, veteran status, etc?
It is important that we are able to uniquely identify each member of the network - below we ask for your date of birth. This information is not shared with anyone but the intake team and it is used for identification purposes ONLY in order to track fund disbursements.
Date of Birth
Have you been impacted by COVID-19?
Have you been negatively impacted financially because of COVID-19?
Have you lost wages because of COVID-19?
Have you lost/reduced hours at work because of COVID-19?
Are you unable to work due to childcare/family needs?
Because COVID-19 crisis are you worried of losing housing or have lost housing?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service