Covid-19 - I Need Help

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As we continue to #StayHomeSaveLives, the situation caused by Covid-19 means that many people require more support than ever before. Mojatu Foundation, Fearless Youth Association, FMB Radio, GAIN Diaspora, International Development Foundation for Community Integration & Support Services (IDF), and Health Organisation for Life (HOL) have come together to support communities; especially Africans, Caribbean, Refugees and those from the New and Emerging groups in Nottingham and Nottinghamshire.

Please complete this form with your request(s) for support for Covid-19. Kindly note that we will only use this data to provide the support you request. If we need to signpost you to other organisations, we will inform you before we do so and we will not proceed without your express confirmation. Your data is managed according to UK's GDPR guidelines and as stipulated in our website at https://mojatufoundation.org/privacy-policy.

For more info, contact Joan on joan@mojatu.com | Call 0115 7846 666 | Text or WhatsApp 07496982391

Title *

Mrs

Miss

Other:

Name *

Address *

Post Code *

Phone Number *

Email Address

Covid-19 Support Required *

Applying for and accessing benefits

Applying for jobs or training

Assisting children with schoolwork, online learning and motivating them

Food or household items. These are donations from local organisations and food banks

Emotional & mental health support. We may refer you to specialist support organisations.

Online courses such as driving theory, arithmetic, English language, healthcare and hospitality

Someone to talk to. We may refer you to specialist support organisations.

Translation and language support - limited to some African and Middle East languages only

Using computers, IT and mobile devices

Youth Specific Support (13-29 years) Including Music production, Website design etc

Other:

Required

How you wish to receive support *

Food or household items. These are donations from local organisations and food banks

Through a phone call

Online, email or through social media

Other:

Required

For food and household items and shopping, when you would like your delivery to be made?

YYYY

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