Type of Organization
Address (Mailing, City, State, Zip)
County served.
(Select all counties in which your organization DIRECTLY serves people.)
Populations You Serve:
(Check all that apply)
List all of the unmet needs that have arisen for your organization due to Covid-19 at this time that you consider to be an added burden (staff time and/or financially) at this time.
Describe the biggest challenge your organization faces, due to COVID-19, to provide services to the people served by your organization.
Please list any extra supplies or services your organization is willing to share with another organization during this time. (Could include disinfectants, meal delivery, diapers, etc.)
