Volunteer to Join the Relief Effort in New Jersey Please fill out the form below if you are interested in assisting with the relief effort First Name * Last Name Phone-Mobile (Main) Email (Main) * Do you have a vehicle? * Yes No If yes, what type of vehicle do you have? Car Truck Van Bus Do you have a bike? * Yes No In what region(s) would you be willing to volunteer? * (Please clarify in notes if necessary) Brooklyn – Downtown Brooklyn – Fort Greene/Clinton Hill Brooklyn – Red Hook Brooklyn – Sunset Park, Rockaway, Coney Island Brooklyn – Williamsburg Long Island Manhattan – LES or Chinatown Manhattan – Upper West Side Staten Island Princeton (NJ) North Jersey South Jersey Central Jersey Coastal Jersey Do you have a specific skill to offer? Childcare Food Prep Legal Medical Mental Health/Social Work Repair Work Construction Skills Please clarify in notes if necessary. Additional skills (Generally speaking) Available Days? * (Generally speaking) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Available Times? * Day (10am-5pm) Evening (5pm-10pm) What languages do you speak? (other than English ; ) Are you willing to offer housing for evacuees? * Yes No Can you act as a collection space for donations? * Yes No Miscellaneous Notes