REQUEST FOR ASSISTANCE:  MKE Trans Community Volunteer Support - facilitated by FORGE and Zao MKE Church
Trans and non-binary community members in the Milwaukee area...

We care about you. We know that many people are feeling challenged and stressed during this time of social distancing. Many of us are working from home or caring for children who are out of school, staying home because of health advisories, living with chronic or immunocompromising medical conditions, and/or are sick with the coronavirus.

We know that you may have needs for practical support or emotional connection. We know that some of you may desire spiritual or religious support during this time as well. We are here to help.

Please fill out this form to let us know what your needs are. We will make every effort to match you with a volunteer from the trans/non-binary community (including family, friends, and loved ones in our community) to assist you.

We will do OUR VERY BEST to support you; however we cannot guarantee our ability to fulfill your request. We promise to be in contact with you. We will acknowledge your request and we'll let you know if and how we can support you.

Thank you for reaching out for support. We gladly and lovingly want to help.

~ The staff and volunteers of FORGE & Zao MKE Church

[To sign up to volunteer: please complete "VOLUNTEER SIGN-UP: MKE Trans Community Volunteer Support - facilitated by FORGE and Zao MKE Church." @ https://forge.tips/3aTsoMY  Thank you!]
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Are you requesting help or support from a volunteer from the Milwaukee-area trans / non-binary community? *
Are you currently staying home, or "isolating" yourself, because of coronavirus? *
If you are staying at home, are you staying alone? *
What kind of help or support do you need?  *Please check ALL that apply. *
Required
For the following questions, please answer accurately. Your request will be considered no matter how you respond. Please help us safeguard the health of volunteers.
For the following questions, you agree that FORGE/Zao may share information about your coronavirus status or exposure risk with a volunteer matched to assist you. Please know that we take your medical privacy very seriously and will only share limited, relevant information when necessary.
Have you travelled outside the United States in the past 30 days, or travelled anywhere by plane, or been exposed to someone who was ill at the time with coronavirus?   *
If you answered "yes" above, please explain:
Have you had a fever or flu-like symptoms in the past 14 days? *
If you had a fever or flu-like symptoms in the past 14 days, did you seek medical attention?   *
Has a medical professional told you at any time that you have a coronavirus infection?   *
Has a medical professional or any other professional suggested, recommended, or ordered at any time that you stay at home? *
For the following questions, you agree that FORGE/Zao may share this information with a volunteer who will contact you directly.
What is your name (first and last name that you would like us to use)?   *
What pronouns do you use?   *
Telephone number, if you have one?   *
Do you send and receive text messages from this phone number?   *
Email address, if you use one?  
How do you prefer to be contacted (please check ALL that apply)? *
Required
What is the address where you are staying?
Is there anything else that you want us to know about your request?
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