Subgroup in hhCCC Persons-HT
“The request for assistance intake form is intended to capture vitial information from people living in Haiti that are in need of help. The form is used to build a database of individuals in need of support while attempting to curate the information for later use by the organization or affiliated organizations.”
Fields include:
First Name
Last Name
email address
phone number
City
Department
List of Assistance
Number of children
Marital Status
Birth Date
Household income
