Catholic Action - COVID-19 Mobilization

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“Using our Gifts to Serve our Neighbor”
Fill out the form to help mobilize the community during these extraordinary times.
Please feel free to forward this form to your network.
Sincere thanks and God bless you!

Email *

First name *

Last name *

Phone

Preferred method of contact *

Phone

Text

Other:

Required

Preferred time of day to contact you (check all that applies) *

Early morning (8am - 10am)

Late morning (10am - 12pm)

Early afternoon (12pm - 3pm)

Late afternoon (3pm - 6pm)

Evening (6pm - 9pm)

Other:

Required

Which church or organization are you a part of? *

Would you like to identify a need in the community during these challenging times?

How would you like to donate your time, treasure, and/or talent?

Would you like to be checked in on via phone call during these extraordinary times? *

YES

Required

Would you like to volunteer to check on your neighbour via phone? *

YES

Required

Additional feedback or comments? *

Submit

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