Reliefs Assistance Program

Below is a questionnaire for orphanages looking to participate in the Emergency Disaster Relief programs for children under their care. The responses will help assess areas of urgent need during life-impacting times to understand where to prioritize and quickly deploy our resources to the affected areas.

Head of Orphanage/Caretaker to Fill:

1. Leadership and Staff:

2. Capacity and Facilities:

3. Emergency Preparedness:

4. Healthcare Services:

5. Food and Nutrition:

6. Protection and Security:

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.