Member Application Squarespace

Durham Neighbors Application

Join us in our mission to connect neighbors person-to-person for the betterment of our beloved community of Durham, NC.

Name

First Name

Last Name

Phone

(###)

###

####

I would like to give/recieve assistance to/from my neighbors:

If requesting assistance, please specify your CashApp handle:

I have time/skills/expertise to donate in the following areas:

Money

Business/Job Assistance

Health Assistance

Public Service Navigation

Legal Assistance

Food

We're currently recruiting Durham Neighbor Ambassadors. Would you consider being an ambassador?

Click yes for more information

Yes

Preferred Method of Contact:

I am in a position to donate and I would prefer to do so: