Pre-Passover Help - Form - Hebrew Institute of Riverdale

First Name

Last Name

Phone # (cell phone preferred)

Address

City

What is your comfort level with technology?

I am tech savvy and have all the devices I need for functioning at home and staying connected. Contact me whichever way is easiest.I am good with emails, but struggle to read and respond to text messages and video calls.Please call me. I struggle with email and text

I am currently

Please Choose OneHealthy, in a low risk category and would like to help others who need assistanceIn a high risk category and could use some assistance with errands and visitsDoing well for now but may need help down the road

I am available to (check all that apply):

Make phone calls to check in on peopleDo shopping and other errands for those who should not be going outI can help with pickups and deliveries, but I cannot do shopping.I would help package supplies at a central locationWe will let you know if there is an opportunity and need to have supplies delivered to a central location and packaged for delivery at some point. The focus right now is on 1:1 assistance.

I would appreciate (check all that apply)

Shopping AssistanceA phone or video visit.Learning how to use video on my phone or computerHelp with preparing for a Seder in my home

What other assistance would be helpful?