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* 1. Organisation Name

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* 2. Does your organisation support particularly at risk residents?

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* 3. Can your organisation be contacted by residents needing help due to Covid-19

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* 4. If yes, please provide contact details for RESIDENTS

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* 5. Will your organisation want to be contacted by Communities 1st with people wanting to volunteer during Covid-19

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* 6. If yes, please provide contact information for Communities 1st to contact

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* 7. Which area(s) do you cover (both residents needing help and where you can deploy volunteers)

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* 8. What is the immediate impact (0-6 months) of Coronavirus on your service provision and your organisation, and what can Communities 1st do to help?

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* 9.  What do you think the longer term (6-18 months) impact of Coronavirus will be on your organisation and your service provision, andwhat can Communities 1st do to help?

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* 10. s there anything else that you think Communities 1st should know, which may help us to respond effectively to support you?

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