ACAC General Needs Form
I need help with: (Choose one or more)
Have Errands - Groceries / Prescriptions (For elderly or those who don't have a vehicle)
Need Ongoing Phone / Video Wellness Checks
Need Ongoing Phone / Video Calls for Parental Support (For those who have small children at home 24/7)
Need Computer / Technical Support via Phone / Video
Need a Tutor via Phone / Video for Elementary / Middle / High School - (Please specify grade and subject below.)
Please specify grade and subject.
What other needs do you have? Please describe.
What neighborhood do you live in?
Which day(s) do you need help?
What time(s) of day works best?
Should be Empty: