Heal Da Homies Mutual Aid Committee Form

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Fill out the form below to be placed within the committees -- we must be organized to stand against fascism. If you have any questions or inquiries, please contact Kayla at (860) 965-9976.

Join the Heal Da Homies group chat on the "Signal" app!

https://signal.group/#CjQKIKa9trVswpFKKCnYTofHMRSxa-tC_JTxXOj_usKrchyiEhA_nn2TGJKHSUFGdT_uBd5G

First & Last Name? *

Pronouns? *

Phone Number? *

Email? *

Social Media Handle? *

Which committee(s) would you like to join? *

RESEARCH/ONLINE WORK -- look up current DC legislation and resources for our political education work, flyer graphics, etc.

POLITICAL EDUCATION -- educate the broader DC community on politics/survival and the resources present in DC

EVENTS -- plan and facilitate both in-person and virtual events to engage and liberate the community

DELIVERY/TRANSPORT -- coordinate drop offs of food to encampments and DC residents and transport of items to events

ADMINISTRATIVE SUPPORT -- checking in on community members and fulfilling their needs; scheduling and organizing tasks; general volunteer support

Required

Would you like to be a committee leader? *

Yes

I can provide the following supports to community members (this can change overtime):

Fulfilling consistent meal/survivals needs for individuals or families

Help acquire stimulus checks

Translation (List language(s) in "Other")

De-escalation, conflict resolution, peacebuilding skills

Medical response

Household cleaning, laundry, and dishwashing

Education Support (navigating distance learning, tutoring)

Teach certain skills/Workshops (List in "Other")

Donate clothing/food/items

Provide or fund for temporary housing of a resident

Other:

How many hours a week could you volunteer? *

Occasionally

0-2 hrs per week

2-4 hrs per week

4-6 hrs per week

Other:

Do you have access to a car or transportation? *

Yes

Sometimes

Are there any other supports that you think we should offer that aren't on the list above?

Are there other communities that you're connected to that would benefit from organizing some mutual assistance?

Anything you'd like for us to know?

Submit

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