COVID-19 Support: Take a Stand. Stop the Spread.

With an increasing number of positive COVID-19 cases and deaths in the U.S., WILDE is Taking a Stand to battle the coronavirus pandemic one mask at a time, by donating surgical and/or N95 masks to Mission Essential Healthcare Workers and Expectant Mothers in the state of Delaware, and other neighboring states, based on availability and immediate needs.

To support our efforts to combat COVID-19, or to request masks for your institution, please visit wildeinc.org/COVID19


If your institution has an immediate need for masks, please complete the form below to be considered, and for verification purposes.

Please provide verification you are a healthcare worker. Examples: NPI number,* LinkedIn, Doximity, a bio from your institution, or other reputable independent source. (Expectant Mothers: Proof of pregnancy form, letter from provider on official letterhead. If you are unable to obtain documentation, a self-declared pregnancy may also be considered)
Upload supporting documents for verification.

Please provide the address to which we should ship the masks and your contact information

Please enter digits only, no space, no dash

DISCLAIMER: Please note that Women in Leadership Development and Empowerment, Inc (WILDE) has taken measures to ensure that we provide you with quality masks. However, you understand that WILDE is not a manufacturer of said masks. All masks issued by WILDE are purchased from a third party manufacturer.
You also agree that you will not sell masks issued to you by WILDE, or use them for selfish gain.
By submitting this form, you take full responsibility for the quality, efficacy, and safety of these masks and their use.

PLEASE REFRAIN FROM EMAILING OR CALLING OUR OFFICE ONCE YOUR FORM IS SUBMITTED. WE WILL CONTACT YOU TO COORDINATE DELIVERY IF YOUR REQUEST IS APPROVED.