United for Ukrainian Refugees
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The Utah Ukrainian Association is seeking information that will allow us to be a bridge in our community between the Ukrainians who need help, and people in the community who are willing or able to help them. Thank you for your interest in helping, loving, and supporting your local Ukrainian community during our time of great need.
What is your zip code?
What is your full name, first and last?
What is your phone number?
What is your email?
The following several questions will be regarding your willingness to host a refugee. Other methods for helping the refugee situation are included later in this survey. If you are not able or willing to host (a) refugee(s), please select "no" on the next question and feel free to leave the other questions regarding housing them blank, although please still provide us with your zip code. Currently, the United States Federal Government is not allowing Ukrainian refugees into America. The State of Utah, on the other hand, is pushing for the welcoming of refugees and if things change at the federal level, Utah is very likely to become one of the major resettlement areas for Ukrainian refugees in the United States. On the other hand, there are many Ukrainians with still-valid visas to America that have begun to come to Utah (and other places). Most of these individuals either have family (most common) or friends in America, but not all of them, and not in every situation where they do have contacts are those contacts able to support them. These individuals are coming to America mostly on tourist visas, meaning their rights are extremely limited and ability to access state resources are pretty much non-existent. Only Ukrainians who were in the United States prior to the 1st of March 2022 are able to file for Temporary Protected Status, and this is a process.
Are you willing to host (a) refugee(s) in your home?
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How many total refugees are you willing/able to invite into your home? (If applicable)
How long would you be willing to support (a) refugee(s) and allow them to stay in your home? (If applicable)
Is there anything else you would like us to know about your willingness to host (a) refugee(s)? (i.e. females only, no babies, elderly only, willing to host only 4 kids and 1 adult, individuals with disabilities or who here for medical treatment are welcome in my home, I have the space but would need help getting things like beds, etc.)
Do you have any of the following situations in your home?
Do you (or does someone in your household) speak Ukrainian or Russian?
Clear selection
How many adults live in your household, besides yourself?
Are you wanting or able to support Ukrainian refugees in another way?
I am willing to have this information shared among leaders and volunteers with the Utah Ukrainian Association and give them permission to use this information to contact me. Additionally, you recognize that submission of this form does NOT result in a requirement for you to host (a) refugee(s) or engage in other activities above, as it is not a contract.
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