Rotary and Rotaract COVID-19 Mutual Aid (North America Only)
Around the world, everyone is being impacted in one way or another by Coronavirus 2019 or COVID-19. In response, we wanted to create a resource for Rotarians and Rotaractors who are experiencing difficulties to be able to reach out and lean on each other during this time. As Rotarians, we are called to provide service above self in all situations, good and bad.  

Whether you are able to offer assistance or if you need it, please fill out the form below and we will match you with someone in your area. Your assistance offer or request can be in the form of physical assistance (i.e. grocery shopping) or mental assistance (i.e. someone to video chat with for a bit).

DISCLOSURE: Big West Rotaract Foundation cannot guarantee that all requests for aid will be met. We are simply offering an outlet for Rotarians and Rotaractors to connect in response to a global pandemic. We accept zero liability for any arrangements, donations or items (including but not limited to food, cleaning and medical supplies).

If you're a Rotary or Rotaract club in another region, feel free to replicate this for your own use.

Questions? Email us at ask@bigwestrotaract.org
Sign in to Google to save your progress. Learn more
Name *
Phone Number (to be able to contact you) *
E-Mail Address (to be able to contact you) *
Rotary and/or Rotaract Club Name *
Postal or Zip Code (to match you with someone in your area, if necessary) *
Age Range
Clear selection
Are you able to offer assistance or are you requesting assistance? *
What languages do you speak? How proficient are you?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Big West Rotaract Foundation. Report Abuse