Jefferson & Gladstone Park COVID-19 Volunteer Form
This form is specifically for volunteers in or near Jefferson Park, Chicago, IL. However, if you are seeking to volunteer and are not nearby to these areas, you can fill out the form at https://docs.google.com/forms/d/e/1FAIpQLSd0MK1dnny1BTlzvohuRlnlC6fHqXKqez0hrZJLuZ6F4-qu9w/viewform?fbclid=IwAR3mCWbWu48E6jJUMrqd4jQwmIO8AzkbUAkyCzs4hjhIbhDEhLwFOqHe8_o and your information will be distributed to your neighborhood's point person.

Your information is confidential and will absolutely not be shared for any purposes other than those you indicate below. Thank you so much for helping us to hold our community during this fragile time.
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Email *
What is your name (& pronouns if you would like to share) *
Phone number
What neighborhood are you living in? *
Do you have access to extra supplies, food to be donated, or the means for financial donation? *
Are you interested and comfortable with volunteer opportunities that involve being outside [ex: picking up or dropping off supplies]. ((Please be mindful that these type of volunteer opportunities are not recommended for everyone, including people with chronic illnesses, people aged fifty or older, pregnant folks, etc. We urge everyone to do what feels comfortable for them)) *
Are you interested in volunteering remotely (this may include things like promoting links on social media, managing excel spreadsheets or sorting requests for aid) *
Do you have a bike, motorcycle or vehicle you are willing to use for the pickup and transport of supplies, etc? *
Any special skills or access to resources that we haven't asked about yet, which you'd like to share?
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