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DONATE

Reasons - Select all that are applicable * Required

Fear of contracting Covid

Personal health issues

Caring for dependent child or family member

Able to live off saving

Self-employed or working odd jobs

Living on Public Assistance

Waiting to be called back to former employer

Expect higher wages

Work-Life Balance issues

Employer mandated vaccination

Transportation

Other

Age Range *

18-24

25-34

35-44

45-54

55 and up

Gender

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