Masks for an Organization

Masks for an Organization
Our mission is to distribute free masks to the San José community. We provide free masks via public locations like libraries, and also offer local pickup and delivery for individuals. If you're an individual looking for free masks, please use our main form here: https://form.jotform.com/232922182393053

If you're a local organization looking for free masks, please continue with this form.
Name of your organization*
Website / social media*
Type of organization*
Tax ID number*
What is your organization's mission statement?*
How long have you been operating?*
What is your annual budget?*
If you've been operating for less than one year, please approximate

What measures does your organization currently take to prevent the spread of COVID?*
Why are masks important to your organization?*
What communities does your organization serve?*
How will providing free masks to your organization serve the most marginalized in our community?*
Who would the masks be going to?*

Community members served by our programOur volunteers (unpaid)Our staff (paid)Other
How many adult masks do you expect to need?*
How many kids masks do you expect to need?*
Some of our masks come as donations from community members. While we do our best to verify them, there's always the slight chance that they're not authentic. Are you ok receiving community donated masks?*

YesNo

Your name*
Your role in your organization
Pronouns
Optional
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
How did you hear about us?
I confirm that all of my responses are accurate to the best of my knowledge

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Mask Bloc San José is a fiscally sponsored project of Social Good Fund, a California nonprofit corporation and registered 501(c)(3) organization, Tax ID (EIN) 46-1323531.
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