Carlisle Neighbor Response Team - Request for Support Form
The Carlisle Neighbor Response Team (CNRT) is a group of Carlisle resident volunteers who are available to provide support to Carlisle residents during a State of Emergency. CNRT volunteers will help set-up online delivery options for groceries, pet food and supplies, and prescription and non-prescription medication and pharmacy items. When online ordering and delivery is not a viable option, CRNT volunteers are available to help with weekly grocery pick-up and delivery, pet food/pet supplies pick-up and delivery and/or prescription and non-prescription medicine and pharmacy item pick-up and delivery.

If you need some extra support during the State of Emergency because you are considered to be in a high risk category for contracting Covid -19 (e.g., immunocompromised, have been diagnosed with a chronic illness such as lung disease, diabetes, heart condition, or are 60+ years of age), are in quarantine, have symptoms of or have been diagnosed with Covid -19, or you have other special needs, and are without local family of friends to help, we will match you with a CNRT volunteer.

The safety and health of both our volunteers and Neighbors is a top priority. Therefore, whenever possible, CNRT volunteers will help you to set-up online delivery of groceries, pet food & supplies and prescription and non-prescription medicine and other pharmacy items as this is the most efficient, flexible and sterile means of getting supplies delivered.  

As requests for help arise, we will connect CNRT volunteers with those in need of help. Whenever possible, we will attempt to connect individuals and families requesting support with CNRT volunteers that live in their neighborhood or as close to the home address as possible to foster community connection and are able to provide the type of support that has been requested.
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Full Name (First, Last)
Address
Email Address
Cell Phone Number
Home Phone Number (if you have one)
Special dietary considerations/food allergies (please provide as much detail as possible)
Grocery/Pharmacy/Pet Stores where you usually shop (select all that apply)
I need help with the following:
Weeks When You Need Support (Please check all that apply - you can communicate more specific needs with your assigned CRNT Volunteer)
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