Starter Packs - Covid Naarm Mask Bloc

Mask Bloc Starter Packs Application

Covid Naarm
Hi !! This application is for new mask blocs or pre-existing groups wanting to branch out into mask distribution. Please make sure you have set up your mask bloc basics:

→ name of the mask bloc

→ who is part of your mask bloc

→ ways to contact the bloc (e.g. an email or an Instagram account)

This form isn't for:

• individual requests (please check the forms in our linktree that open once a month)

• people who aren't sure if they want to start a bloc. please start your bloc first, even if you haven't started distributing masks, before applying

• blocs older than one year

We will prioritise Blak-led groups, and groups in the so-called NT, WA, SA over east coast blocs.

We cannot and do not guarantee you will receive a starter pack. If you do get put on the list to receive a starter pack, we cannot guarantee you will receive it quickly. These starter packs cost $175 at minimum, if we get all the items on sale. Full price costs like $400, so we don't have everything on hand consistently.

The first three starter packs will be available in September 2025.
This form is encrypted. We will delete your information once we no longer need it.
What is your name?*
This doesn’t have to be your legal name, just what we should refer to you as when we message you.
What area would your mask bloc cover? Please include whose Country you’re on, which state you’re in and which area you’ll cover. *
e.g. Wurundjeri Woi-wurrung and Boonwurrung/Bunurong Country, “victoria”, we’ll be covering greater “melbourne” but not rural victoria.
How many people are or will be part of your mask bloc?*
e.g. “we will have two members”
How old is your bloc, in months?*
e.g. “7 months old”
Will your mask bloc be associated with an already established organisation or group?*
YesNo - settler-led.Both Mob and settler-led
How will you be connecting with your community? e.g. mainly through Instagram / mainly through a local community centre*
What are your bloc’s socials?*
e.g. “Instagram handle @CovidNaarm, Bluesky @covidnaarm.bsky.social”
We need to contact you to confirm if you’re on the list to receive a starter pack. Please leave either an email address, Signal username or your bloc’s IG / Bluesky handle for us to get in contact with you.

We will only contact you from:

→ IG @covidnaarm

→ email covidnaarm@protonmail.com

→ Bluesky covidnaarm.bsky.social

→ Signal “covidnaarm.777”

We will endeavour to message you within 3 weeks of your application :3
email
signal
PLEASE LEAVE A VALID USERNAME - not your display name. e.g. our username is “CovidNaarm.777” and our display name is “Covid Naarm”. We need the three numbers in order to contact you. Do not delete / change this username for four weeks or we will not be able to contact you.
instagram handle
bluesky
Any feedback on this form / questions you would’ve asked?
Thank you for filling out an application for a starter pack, and for putting in the work to start a mutual aid group. This is the end of the form. Once you hit submit, you cannot edit your answers so please check everything is correct before submitting. Have a nice day :3
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Mask Bloc Starter Packs Application

This form is encrypted. We will delete your information once we no longer need it.