Chittenden County Mutual Aid Request Form
Please use this form to request mutual aid support for your (im)migrant neighbors/clients. Community organizers will field requests by reaching out to community members to meet these needs. Someone from our team will then follow up with you after the request is met, or if it unable to be met by the assigned deadline. Currently, this mutual aid project is focusing on resource distribution. You/your organization can request items and community members will drop it off at said organization (or your home if you are not affiliated with an organization). We are developing a more secure system for higher risk requests (such as providing transportation) that involves thorough vetting of community members and training. We will update you when we are ready to take on these requests.
Organization Making Request:
*
or N/A if you are not affiliated with any organization
Point Person
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Need Type:
Resource
Funds
Food
Other
Details:
Ie: furniture, groceries. please include as many specific details as possible so coordinators do not have to follow up with questions.
Delivery location
We are only offering drop offs at organizations or the requestor's home. We are not offering home delivery for (im)migrant neighbors at this time.
Additional Information:
Hours drop offs are accepted:
(when organization is open)
Date Needed On/By:
Submit
Should be Empty: