Cork City Covid19 Community Response

opendate_range29 Mar, 2020, 3:34pm - 29 Jun, 2020, 3:34pm

You do not need to log in to register this form.

Please include your details below to share your details and be included on a Support Services Map for the city. 

If your organisation facilitates a number of different services, please fill out a separate form for each service. The first page provides details of your organisation and the second page details the support services.

Thank you. 

 
1 Start 2 Support Service Details 3 Complete
Organisation Details
These details will appear on the support services map.
Keep it short - this is what will appear in the map
eg. Mayfield, Rochestown, Ballincollig, Glanmire, etc
If you have pages related to support for COVID please use that site address and not your home page address to save people looking for information on you site.
This is required to add a drop pin to the Support Services map. The Eircode should be the location where people would associate your service with and not your own Eircode adddress.