Online Form - Neighbours in Need: How You Can Help

There are many people in our community facing challenges and increasing isolation due to COVID-19.

Through the Neighbours in Need initiative we can all look out for each other and show a little kindness.

If you would like to help, please complete your details below and we'll be in contact shortly. Alternatively, you can also email crc@wongan.wa.gov.au for an electronic or printed copy.

Printed copies are available at the Wongan Hills CRC and the Shire Administration Office for those without internet access.

HOW CAN YOU HELP?

WHAT TASKS CAN YOU ASSIST WITH?

Phone Check-In

YesNo

Picking Up / Dropping Off Supplies

YesNo

Donating Consumables (toilet paper, pet food, tinned food etc)

YesNo

Other Tasks

Contact Details

Name

Address

Phone Number

Do you hold a current police clearance?

YesNo

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Online Form - Neighbours in Need: How You Can Help

HOW CAN YOU HELP?

Contact Details

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