WVU Extension Mask Making Project

Mask Making Project Form

Thank you for helping make masks to support the health care workers, senior centers, and others in our communities. Groups may choose any style to make. Here are some mask patterns to consider that have been approved by WVU Medicine:

Phoebe Putney Health System
ProMedical Health Connect
Accordion Style Mask

It is strongly recommended that the fabric be cotton. The medical scrub material is also recommended.

Please let us know how you have helped by completing the form below. Thank you for your service.

Name of organization, group or person making the masks

Address for the organization, group or person making the masks

Address line 1

Address line 2

City

State

Zip Code

Style and number of masks

Style and number of masks
	Number of Masks Made
Phoebe Health (PDF)	Phoebe Health (PDF)
ProMedica Face Mask (ArtfullyQuilted.com)	Phoebe Health (PDF)
DIY Fabric Mask (Makershabitat.com)	Phoebe Health (PDF)
Other mask pattern. Please explain (type/source):	Phoebe Health (PDF)

Who did you donate your masks to?

Deliver date

(mm/dd/yyyy)