Mutual Aid Request Form

Mutual aid is a practice of community care that allows us to share resources. This practice helps us build our comfortability in asking for help and recognizing that we are all deserving of support. Mutual aid is not limited to one specific type of care; you can request funds for surgery, car repairs, or any other needs you might have at the moment. We want to honor the vulnerability of asking for assistance and trust that our community members will honestly ask for what they need. To protect your confidentiality, only The Rainbow Circles staff (primarily Kate) will have access to the information you put on this form. Funds from any mutual aid donations will be distributed within the first week of the month following your request. At this time, we are not able to provide emergency assistance.

If you have questions, please feel free to reach out to Kate (they/them) at 970-900-5859 or kate@therainbowcircles.com

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Date of request *
MM
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DD
/
YYYY
Please choose a pseudonym for us to display with your request (this is to protect your confidentiality). *
What is your Paypal username? *
If we have questions, how can we contact you? Please include your phone number or email and specify preferred method of communication.  *
What are you requesting funds for? *
How much are you requesting? If flexible, please feel free to note that as well. *
Is there a deadline that you need this by? If so, please specify below.
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