ASSISTANCE LOCATION INFORMATION CHANGE REQUEST

ASSISTANCE LOCATION INFORMATION CHANGE REQUEST

This information will populate our community guide on where to find food, childcare and other resources while schools are engaged in COVID-19 related distance learning.

Please note that this form should only be used to request changes to an existing resource location registration. Please only complete the your Organization Name and field(s) that pertains to your changes. There is no need to fill out any other fields on this form.

Age Groups Served
Computer Accessibility for Distance Learning
Internet Accessibility for Distance Learning
Bilingual Supports
Are masks required for youth?
Are masks required for adults?

Volunteer Information

Public Service Contact Information

Service Location Address:
City
State/Province
Zip/Postal

Program Contact Information

(Will not be included in public resource listing)