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Community assistance request

A dignified, short request for help with food, housing costs or supplies, with urgency routing and privacy-first wording.

About 4 min to complete. assistance, community support, nonprofit.

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Questions in this template

  1. What should we call you?
  2. How can we reach you?
  3. Phone number
  4. Email
  5. What do you need help with?
  6. How many people are in your household?
  7. How soon do you need help?
  8. Is there anything else you would like us to know?
  9. Sharing

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Asking for help is brave.

Tell us what you need. Everything you share is kept private and used only to match you with support.
Takes about 3 minutes
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