I need help with accomodation
This form is to assist with finding temporary accomodation especially for Black, Indegenious, and People of Color who are forced to flee from Ukraine to Slovakia. As you plan your next possible destination, we would like to stand with you.
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电子邮件地址 *
Name and Surname *
Phone number (with international prefix) *
Nationality
When do you need help? *
For how long you need this temporary accomodation? *
Total number of ADULTS that need help? *
Total number of CHILDREN that need help? *
I am looking for help for: *
Members of your family/group (names and agess) *
Do you need any specific supplies (baby coat, special equipment, other)? If yes, please list them.
Do you have any specific limitation which should be taken into consideration when finding the type of accomodation for you (e.g. immobility, fear of heights, other)?
From when do you need help? (Don't enter past date). *
年
/
月
/
日
Do you require assistance with transfer fro the Slovak-Ukranian boarder? If Other, specify if you need transportation from elsewhere *
I'm looking for: *
Which languages do you speak? *
必填
Is there anything else you would like to tell us?
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