Mutual Aid Kadima

Welcome to Mutual Aid Kadima (MAK)! This is the place to request support for a variety of needs for yourself, your family, or a friend/community member (who has agreed for you to request on their behalf). Here's how it works:

1. Fill out the form below to the best of your ability. It takes a little bit of time to set up and fulfill requests, so it's ideal if the need is no less than a week away. If you need support sooner, email us directly (office@kadima.org), and will will do our best to get it set up within your timeframe (with the caveat that our team works part-time)

2. We will call you to either set up a meeting, or go over your request on the phone, at your preference. At that time, we will clarify any details, and create a calendar of the recipient's needs.

3. We will discuss the options of how to fill requests. We can send it to any combination of the following:

Your circle of friends and acquaintances, which you provide a list of;
Kadima members who have indicated interest in filling MAK requests (approx. 40 people);
All Kadima members (approx. 250 people);
The entire Kadima community via the newsletter (approx. 1000 people).

4. Once we have agreed on the level of privacy/openness you are wanting, a volunteer MAK Coordinator from Team Yitro will email your request to the group(s) you have authorized. Individuals will be able to sign up for aid tasks via the email we send out (they will not need to create an account, but will need to enter their name, email, and phone number).

5. You can receive email reminders of upcoming filled requests, or not, at your preference.

6. The MAK Coordinator will do their best to keep contacting people until your requests are filled, and will update you on the status of your care calendar.

7. If the requests are not being filled within the group you specified, we will have a conversation to strategize.

8. The MAK Coordinator will check in with you at least every 2-4 weeks, depending on the duration and details of your request, to make any changes to your calendar and to see how things are going.

Name of Requester (if different than Recipient)

First Name

Last Name

Email of Requester

Verify Email

Phone of Requester

Your relationship to the recipient

For instance: Parent, partner, grandchild, friend, etc...

Contact Information

Please enter the name and contact information of the person who is wanting support.

Name of Recipient

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Support Needs Details

General reason for support request

For instance: new baby, broken ankle, ongoing chronic illness, surgery, disaster, etc... This will go in the email to potential volunteers.

Start Date

(mm/dd/yyyy)

Estimated End Date

Leave blank if this is an ongoing need

Types of Support Requested

Select all that you need!

Meals

Childcare

Errands

Rides

Household Work

Social Visit

Yardwork

We will need the details of your request, below. However, if filling out this form is too stressful, please stop here and press the "submit" button at the bottom of the page.

We will call you to go over the details, either in person or over the phone. If it works for you to continue to fill out the form, please do.

Meals

Frequency

For instance, 2x/week, 4x/week, etc...

Preferred meal drop off time

I.e, 5pm - 7pm

Food Allergies & Sensitivities

I.e, gluten, dairy, nuts, eggs, etc...

Dietary restrictions

I.e, vegetarian, paleo, etc...

Number of people eating

Favorite foods

Specific Dislikes

What foods/ingredients do you not enjoy?

Drop Off Notes

How would you like notification your meal has arrived? Are there codes or instructions on how to reach your door?

Childcare

Names and ages of child(ren)

Number of child(ren)

Preferred care location (if any):

For instance: home, a specific person's house, not at home, etc...

Major Allergies, if any

For instance, peanuts

Other pertinent information about the child(ren):

Errands

Types of errands:

Grocery shopping

Other shopping

Pick up/drop off packages

Pick up/drop off family members

Pick up/send mail

Pick up meds from pharmacy

Other

Please describe pertinent details of errands:

Do you need this errand done on a regular schedule? How far away is it? Etc...

Transportation/Rides

Please describe rides needed:

For instance, doctor's appt, hair cut, grocery shopping, Kadima program, etc...

Address or Neighborhood of Destination

What dates are rides needed?

Accessibility Requirements for Rides

Vehicle is wheelchair accessible (without transfer)

Vehicle is large enough to stow a manual wheelchair/other mobility device

Scent free

Household Work

Type(s) of housework needed

Do you/the recipient have chemical sensitivities/allergies?

Will you/the recipient provide cleaning products and equipment?

Social Visit

General visiting hours

Types of interactions you would enjoy

For instance, board games, reading aloud, talking, studying, petting a dog, etc...

Yard/Outdoor Work

Please describe the yard work needed.