22Dec2024

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

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The Mary K Yap Foundation’s Orphan Relief Assistance Program is dedicated to urgently supporting orphaned children affected by natural disasters such as storms, floods, and earthquakes. Our mission is to ensure that every child receives the care and resources they need during these difficult times without discrimination or prejudice. We invite you to join us in providing critical assistance to needy children.

FORM 10

Reliefs Assistance Program

Emergency Disaster Support
Step 1 of 2

1) ORPHANAGE INFORMATION:

3) ORPHANAGE LEADERSHIP (Primary people in charge)

4) CLASSIFICATION OF ORPHANS/NON ORPHANS

5) ENGLISH LANGUAGE SKILLS AMONG LEADERS:

The following questionnaire is designed for orphanages seeking to join the Mary K Yap Foundation's "A Hope for All Orphans" initiative. Your responses will enable us to assess areas of critical need during life-altering challenges, allowing us to understand better how to prioritize and swiftly deploy resources to the most impacted communities. By providing this essential information, you help ensure that support reaches those who need it most, fostering hope and relief in times of crisis.

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

1. LEADERSHIP AND STAFF:

Qualifications and experience of staff in emergency relief and childcare (Select All Apply)

2. CAPACITIES AND FACILITIES:

3. EMERGENCY PREPAREDNESS:

Describe your orphanage's previous experience in emergency relief efforts. (Drop Down (Select All Apply)

4. HEALTHCARE SERVICES:

5. FOOD AND NUTRITION:

6. PROTECTION AND SECURITY:

7. COLLABORATION AND COORDINATION:

8. FUNDING AND SUSTAINABILITY:

9. MONITORING AND EVALUTION:

Can you provide examples of successful emergency relief initiatives?

10. REFERENCES AND PAST EXPERIENCE:

11. ADDITIONAL INFORMATION:

Children and Staff Information:

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.

The information provided in the Relief Assistance Program form is true and accurate. I accept the Terms and Conditions 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 completing the initial assessment.

Please kindly send back the completed form as well as attach other useful information to (hello@marykyapfoundation.org or fax at +1415-463-8478)
(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.