High Peaks DSA Mutual Aid Crisis Response COVID-19 Volunteer Form

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IF YOU ARE ABLE, please consider donating to our mutual aid fund here: gf.me/u/x2an79

This form is for those who are willing to be a part of the response to the COVID-19 virus and economic crisis in the High Peaks area. If you have a compromised immune system or are a member of a high-risk population and want to aid in the response please commit to only doing work that can be done from your own homes such as recruitment and resource support. Donation links to local groups can be found at the bottom of the form. All donation links are verified. You can reach out to the HPDSA at highpeaksdsa@gmail.com

First and Last Name *

Email *

Hamlet/Town/Village (or nearest) *

If you are affiliated with an organization and would be willing to act as a liaison to the HPDSA please provide us with details about your org.

Do you have reliable transportation?

Yes

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What is your time availability?

Morning

Midday

Afternoon

Evening

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Volunteer Roles (Please check all that apply)

Volunteer recruitment and coordination (work from home)

Run errands for high-risk individuals (public contact)

Deliver supplies to in need and high-risk individuals and community organizations (public contact)

Provide supply drop location (at home/location site & public contact)

Provide childcare for essential workers who have lost childcare services

If you have any skills or resources you think may be of value please let us know below.

COVID-19 Solidarity fundraising and supplies.

We are encouraging folks to donate to these verified groups.

Adirondack Foundation Special and Urgent Needs Fund: https://www.adirondackfoundation.org/funds/special-and-urgent-needs-fund

More to come.

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