Rutgers 3D PPE: Volunteer Survey

Thank you for your interest in helping with this effort to produce Personal Protective Equipment to support Rutgers doctors, practitioners, faculty and researchers. Please submit this form which assesses your ability to assist.

Contact: PPEdonations@rbhs.rutgers.edu for direct PPE Donations to Rutgers
Contact: supplychainlead@finance.rutgers.edu for All Potential New Suppliers for Rutgers

Your Contact Information

First Name

Last Name

Phone

Email

Please indicate your role

Address

Rutgers Campus

Rutgers School or Unit Name

Organization Name

Other Rutgers School/Unit

Street Address

City

State

Zip

Volunteer Information

How are you willing to help?

Hold the CTRL or CMD key to select multiple options

What equipment you have available (if any)

Hold the CTRL or CMD key to select multiple options

Other ways you are willing to help

Other Equipment you have available

Do you have access to materials that can help build PPE?

Materials can either be on-hand or connection

How do you have access to the materials?

Other access to helpful PPE materials

Are you currently working on making any PPE yourself?

Are you currently working with or donating to any PPE projects?

Are you connected with any groups that have a need for PPE?

Groups you are connected with that have a need for PPE.

Hold the CTRL or CMD key to select multiple options

Name of Emergency Response Team (s)

Name of Hospital (s)

Name of Other Group (s) you are connected with that have a need for PPE

Please feel free to include any additional details on how you can assist the Rutgers PPE Initiative

Equipment

Other Equipment

Please describe your sewing equipment and skills

3D Printers

3D Printer Make:

Model

Other 3D Printer Make

How many 3D printers do you have?

Type

Build Volume

Material Capability

Layer height (mm) at "High Speed"

Can you source your own materials?

Materials on-hand

Laser Cutters

Laser Cutter Make:

Model

Other Laser Cutter Make

How many laser cutters do you have?

Type

Bed Size

Material

Materials on-hand

Can you source your own materials?

CNC Tools

CNC Make:

Model

Other CNC Make

How many CNC machines do you have?

Bed Size

Material

Can you source your own materials?

Materials on-hand

Idea Exchange

Do you have an idea for a new product, an improvement to an existing product, or see an area of need that is not currently being met?

Briefly describe your idea

Your Skills and Strengths

Check the skills that you would like to offer, and indicate your level of strength. For those skills that you want to develop, check "Want to develop" next to that skill. Provide your other skills and areas of strength, in the Other Skills field below.

Marketing & Networking Skills

Writing Skills and Communication (group)

	Basic	Skilled	Expert	Want to develop (Professional Development)
Graphic Design
Video Creation/Editing
Network Outreach
Marketing Communications
Social Media Communications
Technical Writing
Writing Marketing Materials
Writing Website Copy

Other Skills and Strengths with Skill Level

List other Skills, with their level: Basic, Skilled, Expert, Want to develop

Contact Information