Making a Difference ●Building Dreams ● Creating Impact ● Saving Lives
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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
Copyright © 2024 All Rights Reserved.
US TAX ID: EIN 47-2687230 Registered No. CT0271616
501(c)(3) Disclaimer | Terms of use
1) ORPHANAGE INFORMATION:
3) ORPHANAGE LEADERSHIP (Primary people in charge)
# of Employees:
The questions below should form the basis of a comprehensive health check services plan for the orphanage, ensuring that the children's physical, mental, and emotional needs are adequately addressed and monitored. Please include your response in a separate paper. A member of our healthcare professional will be developing and implementing the plan to ensure its effectiveness and relevance.
1. Basic Health Information:
2. Immunization Status:
3. Nutrition and Dietary Needs:
4. Physical Health:
5. Mental Health and Emotional Well-being:
6. Safety and Hygiene:
7. Developmental Milestones:
8. Educational and Social Needs:
9. Resources and Support:
10. Others: (explain in detail)
The information provided in the above Nutrition 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 the initial assessment is completed.