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TAG = "funds"

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.