Form Center

2. The Oconomowoc Responds task force was formed to help the community address urgent needs related to the COVID-19 pandemic.
4. In a May 2020 survey, Oconomowoc-area citizens identified a number of areas where help is needed and asked for more information about services available in the community and how they could help. This form is the first step in addressing the needs identified in the survey. We are asking non-profits and faith communities to share information to be published in a Community Services Directory on the City of Oconomowoc website. Please share this with any non-profit or faith-based organization that may wish to be included.
6. May 2020 Community Survey
   Link to survey results
8. Organization Name*
10. Location*
12. Website Address*
14. Briefly describe your organization
    • What is your organization’s primary mission/activity in the community? • What makes your organization unique? • In what key ways do you help the community in addition to those listed?
16. Please keep your answer to 75 words or less*
18. What types of individuals do you serve?

    1. Children
    2. Teens
    3. Adults
    4. Families
    5. Seniors
20. For which of the following needs identified in our Community Survey (see link to results below) can you offer help?
    *Check all that apply
22. Education & Technology

    1. K-12 Support
    2. Academic Tutoring
    3. Programs on services and support for individuals
    4. Work/career
24. Behavioral Health and Spiritual Support

    1. Domestic abuse
    2. Substance use and abuse
    3. Counseling
    4. Spiritual Support
26. Family and Social Services

    1. Affordable or free food
    2. Housing/shelter
    3. Childcare
    4. Job/income loss
28. Health and Wellness

    1. Dental Care
    2. Health Care
30. Other, please explain
32. Click the link below to view the survey results
    Community Survey
36. What resources are you looking for to help address these needs?

    1. Volunteer Help Needed
    2. Financial Support
    3. Donated Products
37. Contact information*
39. Other (explain)
43. How can community members best engage with you? (please provide details)
45. Website address*
47. Email contact*
49. Phone (this number will be published)*
51. Join email list
53. Subscribe to newsletter (link)
57. Data contact for questions (not for publication)
59. Name
61. Email
63. Phone
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field