Chesed Request

Name

Chesed recipient (if someone else is filling this form out!)

Pronouns of recipient

This address will receive a confirmation email

Phone # for coordination

Preferred mode of contact

Phone call Text Email

Address

Share a picture of yourself with us (for the signup page)

Upload (8MB)

Whats up?

Loss of a Loved One Illness Healing from Surgery Welcoming a child Other

How can we support you?

There are many different types of support. Which of the following would be most helpful for you?

Meal support Errand & task requests Check-ins from members Check-ins from rabbi I'm not sure, can someone help me figure this out? Other

Meal Support

If you would like meals to be dropped off, please fill this section out.
Typically meal trains are made for anywhere from a few days up to several weeks.

Date for meals to begin

Date for meals to end

What kind of meals? Lunch Dinner

How many servings (adults and children)?

Dietary preferences (favorite foods, allergies and dietary restrictions)

Drop off instructions (what time, where)

Phone # for drop off coordination if different than recipient (e.g. a partner or roommate)

Please indicate where you welcome food from, particularly concerning the COVID-19 pandemic. We have guidelines for safety on our site, and all Chesed food delivery is asked to follow those guidelines. Homecooked Delivery

Anything else to add?

Errand & Task requests

Examples include: pet care, picking up prescriptions, driving to appointments.

Date for task help to start

Date for task help to finish

Errand & task instructions

Visitors

Would you like some company? Yes No Not sure

When and where?

Communication

As part of this process of building community support for you, we want to communicate any other information you want shared more broadly, including any parameters of what does and does not feel good in this difficult time. This section is totally optional.

Here's how I'm feeling about this:

Here's what you can say/do:

Please don't:

Just a few more ....

Do you anticipate being admitted to the hospital? For Rabbi's use. Yes No Maybe

If you would like your name added to the Mi Shebeirach prayer for healing, please write it as you'd like it shared below (in Hebrew or English).

Would you like a mazal tov (perhaps for getting through surgery successfully) or condolence (for a death of a loved one) noted in the bi-weekly newsletter?

Yes No, thanks

Is there anything further that you want to share with us or request?

Description

Meitav, Hinenu's administrator, will be following up in the next 48 hours (or if request is made over the weekend, on Tuesday) about logistics. Please email Meitav at info@hinenubaltimore.org regarding requests for support that are made to begin sooner than in 2 days from the submission of this form.

* * *

"The world is built with chesed."
(Psalms 89:3)

Definition: noun
a. the attribute of grace, benevolence, or compassion, especially (in Kabbalism) as one of the facets of the Divine
b. the act of community care and lovingkindness we show one another

Our community is built and nourished by the care we show one another. Chesed is a fundamental part of that. By filling out this form you are asking for and allowing Hinenu to support you during a time of transition. The world is built little by little when we show up for one another with care.

What is included?
Dropping off meals, running errands, caring for pets (dog walks, anyone?), helping with rides. Please share a maximalist version of what help would be supportive. Your form will be processed by the Hinenu administrator and Rabbi Ariana and they will be in touch with details. If something might be too difficult to ask the larger community for, they'll let you know. So don't be shy.

Who can ask?
Chesed support is available to all Hinenu members in good standing.

Who can help?
All Hinenu members are encouraged to help when they can. Oftentimes, a tailored, online SignUp Genius will be created for folks to sign up for tasks/meals based on the information that you provide. The invitation to the sign-up form will be shared with members, and the people requesting chesed support can share with their larger networks.

Note:
If you are preparing to sit shiva to mourn a loved one, please be in touch with Rabbi Ariana (rabbi@hinenubaltimore.org) directly.

Chesed Request

Description

Please Fix the Following