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Mutual Aid Hartford: Black Mommas Giving Circle | Apoyo Mutuo: Black Mommas Giving Circle
This application is open to BIPOC mothers in the Hartford area seeking support.
The Mutual Aid Hartford Neighborhood Council will review applications and disperse funds when available.
* Indicates required question
Name, First
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Your answer
Name, Last
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Your answer
Address
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Your answer
Email
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Your answer
Phone number
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Your answer
Age
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Your answer
Do you identify as a BIPOC mother/guardian? (Black, Indigenous, or Person of Color - BIPOC)
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Yes
No
Are you pregnant?
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Yes
No
Please mark any or all services that you're interested in:
Doula Services
Parenting Education
New Parent Support Groups
Food Distrubution
Tenant Advocay
Free Art
Other:
Amount Requested
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Your answer
Payment via Paypal
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Please provide your username
Your answer
How did you hear about this program?
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Your answer
Any additional information you’d like to share?
Your answer
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