Assistance Location Signup

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. Once submitted, your organization’s information will be reviewed and posted. Please be sure to provide viable contact information to answer questions regarding your submission.

If you are an organization looking to provide assistance and have a comment or question, please click here to contact us.

If your organization already has a listing on our page and you need to update some information, please use this form.

A separate form must be filled out for each service location.

Name of Organization: *

Tax ID / EIN: *

Type of Assistance providing: *

Do you charge a fee for any of your services? If yes, what services do you charge for? *

Days of Operation: *

Hours of Operation: *

Number of Individuals Able to Serve Per Day: *

Age Groups Served *

Early Childhood / Pre-K

K – 5th Grade

6th – 8th Grade

High School

Average total number of kids per group

Ratio of kids to adults

Action Required to Access Services: *

Walk In

Call for Apointment

Request Online

OtherOther

Please describe the services you are offering. If you have selected more than one action required to access your services, please indicate which action is required for each of your services. (Limit 250 characters) *

Will Your Organization Accept In-kind Donations for this purpose? If so, please select all that apply:

Food Donations

Clothing Donations

OtherOther

Are you willing to accept donations of food from resources such as the Food Bank? *

Yes

No

If yes, would your site like to receive free meals delivered to your site every day? *

Yes

No

Do you have refrigeration on site? *

Yes

No

Please select all the type of food donations you are willing to receive: *

Meal Components

Prepared Meals

Shelf-stable Meal Kits

What meals would you like to receive? *

Breakfast

Lunch

Dinner

Snacks

Computer Accessibility for Distance Learning *

Yes

No

Internet Accessibility for Distance Learning *

Yes

No

Bilingual Supports *

Yes

No

Are masks required for youth? *

Yes

No

Are masks required for adults? *

Yes

No

Please Describe your Safety Plan

Please describe your contact tracing plan (if someone has come in contact with COVID, how will families be notified?)

Volunteer Information

Are you willing to accept volunteers to assist in this effort?

Yes

No

Public Service Contact Information

Service Location Address: *

Service Location Address:

Address 1

Address 2

City

State/Province

Zip/Postal

Contact Phone: *

Organization Website:

Organization Social Media:

Program Contact Information

(Will not be included in public resource listing)

Contact First Name: *

Contact Last Name: *

Contact Email Address: *

Tulsa Area United Way

Volunteer Information

Public Service Contact Information

Program Contact Information

In Partnership With:

Sponsored By: