Shaker Mutual Aid Request/Offer Form
Thank you so much for reaching out to request, or for offering, mutual aid support to your neighbors. We have come together to coordinate on-the-ground needs for people during this challenging time to combat the dehumanizing nature of capitalism.

Mutual aid should be requested on the basis of need. While we will not require you to detail your situation, some requests may require submission of documentation for us to provide the aid.

For additional resources, please visit the following links:

https://www.shakeronline.com/691/Food-Assistance
https://www.shakeronline.com/692/Financial
https://www.shakeronline.com/693/Utilities



Contact us at: shakermutualaid@gmail.com
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First and Last Name *
Phone Number *
Email *
Are you requesting or offering support? *
Do you currently have a fever, cough, shortness of breath, or other respiratory symptoms? *
Do any of the following apply to you? *
Required
What neighborhood / area are you living in now? *
What types of support would you like to offer?
Please elaborate on the type of support you'd like to provide with any specificities necessary
What types of support do you need?
Please provide any information necessary or additional details about the support you are requesting
Any questions, comments, or concerns?
Submit
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