Sullivan County COVID-19 Mutual Aid Volunteer/Needs Sign-Up
This survey has been created by the Sullivan County Chapter of Rights & Democracy (RAD). The purpose of this form is to help protect and support the needs of Sullivan County throughout the COVID-19 outbreak. By connecting volunteers with those in need, this network aims to reduce the spread of the virus by supporting all people to stay at home, particularly those with risk factors and those showing symptoms. Groups at high risk include people over 60, and those with underlying medical conditions, such as respiratory illness, heart disease, obesity, diabetes, and lung disease.

This form is appropriate for both those asking for and those offering support. If your need or availability changes, we ask that you resubmit the relevant fields of the questionnaire.

Please know that we will not share any of the information you provide without first contacting you and obtaining your permission. By joining this network, you are agreeing that the group is not responsible for individual members' actions; the group's role is simply to connect individuals who want to support one another.

Though we recognize that practices of safe physical distancing are essential at this time, this need does not extend to emotional distancing. Indeed, bolstering our ethics of active community care has never been more important.

Our Sullivan County organizer, Ali Brokenshire, will be the main administrative support and contact for this form. You can reach her at ali@radnh.org and via phone at (802) 591-3228.

If there is an emergency, always call local authorities first.

For more information about RAD or other resources, please go to www.radnh.org/covid19

Join RAD in urging Gov. Chris Sununu to take additional measures to protect the most vulnerable and to support all those impacted by the response to the pandemic. You can sign our petition at www.radnh.org/covid19-petition 
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Full Name *
Phone Number *
Email *
Address *
Check any that apply for your household: *
Required
If you are in NEED OF ASSISTANCE, what services do you require? *
Please check all that apply. If you need to elaborate further on your situation, please use the "Notes" question at the bottom of this form.
Required
If you are able to VOLUNTEER, what services can you provide? *
Please check all that apply.
Required
Would you be interested in being part of a virtual community support network via phone or online platform? *
Before this crisis, RAD has been working to end systemic oppression and inequity, and build solutions our communities need. Are you interested in joining any of our following campaigns that build long-term community resilience?
If you would like to make a financial contribution to support those experiencing the impacts of COVID-19, you can find recommended organizations on our COVID-19 resource page: www.radnh.org/covid19 
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