COVID-19 Response Agency/ Organization/ Non-Profit Help Request Form

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* 1. Your Name

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* 2. Your Cell Phone Number

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* 3. Your Email

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* 4. What organization do you represent?

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* 5. In what county is your organization located?

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* 6. What help do you need?

Volunteers

Funding

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* 7. Describe exactly what kind of help you are seeking