Glenridge Elementary PTO COVID-19 "Request Support" Form
We are organizing support for the Glenridge Elementary community during the COVID-19 outbreak. If you are in need of assistance, please fill out the following form. The information you provide will be shared with volunteers so they may contact you if they are able to help. To maintain privacy, your name is not required to receive aid. Priority will be given to high-risk, elderly, disabled, and/or other vulnerable individuals.

Can you help your neighbor?  Go to the "Offer Support" (English) form: https://forms.gle/ZR6y25N1rozE2cBu6

We are looking for help translating this form into other languages.  Please email GlenridgePTO@gmail.com if you can help!

DISCLOSURE: The host of this document cannot guarantee that all requests for aid will be met, but is simply offering to share information to allow members of our community to help each other. Please be responsible when arranging to meet with folks you have not met and keep safe social distancing practices in mind. The hosts accept no liability around these engagements.

Many thanks to Covid19 Mutual Aid - Seattle and South Bay Mutual Aid for creating the forms upon which this template was based.

If you are looking for help outside of the Glenridge area, please contact Covid19 Mutual Aid - Seattle at https://www.facebook.com/covid19mutualaid/

Please email GlenridgePTO@gmail.com to have information removed or changed.  
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What is your name? *
This does not need to be your legal name. Add your pronouns, too, if you want!
How are you connected to Glenridge Elementary School? *
Required
How can we best contact you? *
Where are you located? *
You do not need to give an exact address, but a general neighborhood would be helpful.
How many adults are in your household? *
How many children are in your household? *
I am seeking assistance with... *
Please select all that apply.
Required
If you've requested support with items that cost money (ex, delivery items), would you like financial support? *
We are not able to offer financial support through the PTO at this time, but we are working on it!  Those who have signed up to offer support may be able to offer financial help.  
Do you have any other needs, requests, or instructions?
Do you have any comments or questions?
Depending on the information you've provided, we may reach out to you with additional questions.  We will try to let you know if we can meet your request within 48 hours.  We're so glad you've reached out to us for support.
By clicking "Submit", you consent to the Glenridge PTO sharing the name, contact information, and/or other information you've provided with a neighbor who has expressed an offer of support.  If you would like to help, but have questions or concerns about this process, please email GlenridgePTO@gmail.com.
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