Covid-19 Questionaire

Name

First Name

Last Name

Phone

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Covid-19 Vaccine

How can we help you with Covid-19 Vaccine?

Do you need a ride to vaccine clinic?

Do need help making an appointment for vaccine?

Do you need more information about the vaccine?

Do you need help with covid-relief rent or utilities payment?

Do you need an interpreter or translator? kwo aikuij k juon riukok?

Covid-19 Resources

Arkansas Department of Health
Made to Save
Vaccines and Immunizations | CDC
Vira, the Vax Chatbot -For youth or anyone that has questions about the vaccine, ask Vira!
Kajin M̧ajeļ - Arkansascovid.com or Vaccines - Arkansascovid.com
COVID-Sub-Grantees-Contact-list.pdf (arkansas.gov) - Emergency Rental Assistance

Basic Needs Resources

Agency

Bread of Life

208 W Emma, Springdale(Food NWA), Limited, financial, assistance for Springdale residents only

http://www.firstchurchspringdale.org/missions/ 479-750-5229 Wed. & Thurs. 9-11:30 am

Cooperative Emergency Outreach (CEO)

1649 E. Huntsville, Fayetteville Food, utilities, rent, gasoline, clothing vouchers, prescription medication; Service areas; South of the NWA Mall. (South Washington County)

http://www.ceofayetteville.org/ 479-444-7500 M-F 1-3pm

Compassion Center

2407 S. Thompson, Springdale

Food, utilities, rent, prescriptions, and fuel. Call for an appt. Monday and Thursday Beginning at 9:00 am. Serves area: Northwest Arkansas.

http://www.compassionnwa.com/get-help 479-717-5630 Monday and Thursday 9-11:30am

House of Hope

505 E Emma Ave. Springdale

Food, Clothing, Lunch and Day center

http://www.nwahouseofhope.com/services/ 479- 756-7333 Pantry/ Day center, Monday, Wednesday and Friday 9-2 Lunch, Wednesday and Friday at 11:00

Life Ministry

881 Stills Rd, Prairie Grove

Food, utilities, clothing and some prescriptions.

Service areas: Cane Hill, Farmington, Lincoln, Prairie Grove, West Fork and Winslow

http://lifeministriesnwa.org 479-846-5433 Tuesday and Thursday 9-12

Life Source International

600 S School St, Fayetteville

Food, Hispanic food Outreach, After Hours (Work during the day), Adult Ed.

Service area NWA

http://lifesourceinternational.org/ 479-521-4000 M-W-Th. 8-11:30 (Work during the day) Mon. 6-7 pm

Project Compassion

(Salem Lutheran Church) 1800 West Emma, Springdale Food, eviction notices, shut off notices and fuel. Service area: Springdale

salemspringdale.com/project-compassion-social-ministry/ 479-751-9359 Wednesday 9-11:30

Salvation Army

219 W 15th St. Fayetteville South Washington County &

315 Holcomb, Springdale Springdale Residence

Food, Gas Bill Assistance, Electric Bill Assistance, Prescription Assistance,

Clothing Vouchers (Emergency Only), Disaster Relief Furniture

By appointment only

salvationarmyaok.org/nwarkansas/social-services-available 479-521-2151 Fayetteville: Mon, Wed & Fri 9-12, 1-3; Tues, 1-3 479-751-2077 Springdale: Thurs 10-12, 1-3:30