Outreach, Relief
GITAMEIT FUNDS AND SUPPLIES REQUEST FORM
Gitameit has created an official form for groups within Myanmar to formally request funds and/or supplies from Gitameit and Foundation for the People of Burma.
Click here to download this form (.doc format).
Here follows a list of the items and questions on the form:
- Group Name _____________
- Number of people in group _____________
- Where will you go?
- Have you visited this site before?
- If so, what did you provide?
- Have you visited other sites before?
- If so, what did you provide?
- Have you done an assessment of this site’s needs?
- Food _____________
- Water _____________
- Shelter _____________
- Medical _____________
- Other _____________
- Expected Number of Beneficiaries _____________
- Amount of money requested _____________
- To purchase what supplies (item, amount) _____________
- Supplies requested (item, amount) _____________
- Will medical personnel go along?
- What is your plan for distribution (contacts, networks, etc.)?
- How are you making sure the aid gets to victims?
- Contact Information (name, phone, address, email) _____________
** Don’t forget to fill out a needs assessment form and site report form for each site and return it to Gitameit after your trip. Please bring receipts back if possible.




























































