Department of Human Services – Union County Nonprofit Organizations Status on Essential Services during the Covid-19 Pandemic

Please Note

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Organization Information

Name of Organization

What municipality is your organization located?

Out of County Municipality

Your Name

Email Address

Telephone Number

Primary population(s) you are serving during the COVID-19 pandemic

Check all that apply

Other Populations

Primary need(s) you are addressing during the COVID-19 pandemic

Check all that apply

Other Needs

What type of relief services are you currently providing?

Check all that apply

How are services accessed by the public?

Check all that apply and provide contact information

On-Site Contact Information
Virtual Contact Information
Telephone Contact Information

Please describe the eligibility criteria required to receive services through your organization?

Include who may access services

What are your hours of operation?

Check all that apply

Other Hours of Operation

What are your days of operation?

Check all that apply

Overall, how much has the COVID-19 pandemic affected your organization?

Please share resources and solutions that would help your organization get through this crisis

Submit Survey