Intake form

Help us serve you better

Name *

Email address *

What services are you interested in?

Please select at least one option.

Emergency Relief

Health Services

Education Programs

Food Distribution

Community Development

How did you hear about us?

What is your location?

What is your preferred method of contact?

Are you looking to volunteer?

Are you seeking assistance for yourself or someone else?

Which service or services are you interested in?

Please select at least one option.

Community outreach programs

Disaster relief initiatives

Educational workshops

Human rights consultant

Additional questions or comments

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Global Human Aid Vision Foundation,Inc