21Oct2025

Making a Difference Building Dreams Creating Impact Saving Lives

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Contacts

HEAD OFFICE:                          548 Market Street,
San Francisco, CA 94104         USA

PROJECT OFFICE:                  Pearl Condo, Bldg A, 15 Fl., Kabar Aye Pagoda Rd.,      Yangon, Myanmar

hello@marykyapfoundation.org

US: +1 415 991 2030                 US: +1 415 799 8282                    MM: +95 9 977 66 7777

* indicates a required field.
This questionnaire is for orphanages joining the #H20Hope campaign,  which focuses on providing children with clean water adaptation and practices of deploying efficient irrigation systems. Your responses will help us assess needs and prioritize resources. The program improves health, reduces disease, and fosters a safer environment for children’s growth and self-reliance by ensuring access to clean water.

FORM 6A

Clean Water

Step 1 of 2

The head orphanage/caretaker will initiate the form with the support of the Foundation's Orphanage Ambassador representatives (If Required)

The information provided in the above Clean Water Program form is true and accurate. I accept the Terms and Conditions and Privacy Data Collection Policy. I agree that the relevant committees will only use the information for evaluation purpose. I will provide references upon request.

Please send other useful information to signup@marykyapfoundation or fax to +1 415 901-0305. (Eg. organizational mission and objectives, photos, press-release if available)

The information provided in the above volunteer form is true and accurate. I accept the Terms and Conditions, WAIVER AGREEMENT and PRIVACY DATA COLLECTION POLICY.

I acknowledge that the relevant committees will only use the information for evaluation. I will provide any character reference upon request and after the initial assessment.