IEO Mobile Squad Assistance Request Form
If you are at higher risk for the COVID-19, OR if you are a front-line health care professional, or someone who works in the an field deemed required by state, local or federal government, are unable to get simple supplies like water or bread or napkins, needs prescription pick-up, or lite grocery shopping or perhaps are in need of a home-made meal, and you would like some assistance or calls now or in the future, please complete the request form:
Sign in to Google to save your progress. Learn more
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Alpha Kappa Alpha Sorority, Inc. - Iota Epsilon Omega Chapter. Report Abuse