RSVP for Service Providers for Outreach Outposts & Fire Prevention Planning
China Hat/Juniper Ridge Encampments in Bend, OR and Encampments in La Pine, OR.
Name of Business or Organization (*If Applicable)
Your Name
*
First Name
Last Name
What are you most interested in?
Updates for the public meeting being planned
Being supportive through monetary or in-kind donations of supplies
Being hands on as part of the solution
Do you have prior positive experience working with unhoused individals or as someone that has experienced homelessness?
Yes, working with unhoused populations
Yes, lived experience
No
Preferred Method of Contact
Call
Text
Email
Phone Number (Optional)
-
Area Code
Phone Number
E-mail
*
Mailing Address (Optional)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
February 10th - Mar 1st, planning for a La Pine Fire Preparedness and Mitigation public meeting. We will update details for this event as soon as offically scheduled.
Preference for day of the week or time of day
Days of the week that work best for a meeting
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time of day that works best with your schedule
10am-12pm
12-2pm
2-4pm
4-6pm
6-8pm
What supplies or services are you or your organization interested in providing directly or indirectly through these events?
Health
Medical
Dental
Veterinary
Harm Reduction
DHS Assistance (OHP/SNAP/TANF)
Basic Needs
Food Box
Prepared Meals/Snacks
Water
Pet Food/Animal Supplies
Seasonal Supplies
Propane
ID/Driver's License Assistance
Wellness
Mental Health
Personal Development
Peer Support
Case Management
Veteran Related Services
Cultural Related Services
LGBTQ+ Related Services
Youth Services
Family Services
Aging Related Services
Disability Related Services
Sanitation/Hygiene
Trash Removal
Shower Truck
Laundry Service or Vouchers
Camp Toilets
Toilet Paper, Wipes, Disposable Menstrual Products
Paper Plates/Disposable Utensils
Safety
Water for Fire Prevention
Fire Extinguishers
Educational Information
Law Enforcement Presence
Battery Operated Lighting/Lanterns
Financial
SSI/SSDI Assistance/Information
Employment/Unemployment Related Services/Information
Financial Assistance to Pay a Bill
Gas Cards
DMV Fees
Grocery Gift Cards
Housing
SPDAT's/H.E.A.T. Vulnerability Assessment(s)
Rental Fees/Security Deposit Assistance
Shelter Navigation
Housing Navigation
Village Applications
Substance Use Detox Residential Treatment Center Applications
Other Supplies/Services
Additional Info to Mention
SUBMIT
Should be Empty: