Interest Form: Joy of Giving Lifecare Program
Thank you for expressing interest in the Joy of Giving  Lifecare Program with World Youth Foundation. Please complete and submit this form below and a member of the organization will reach out to you for next steps. 

All information added to this form are kept confidential with the Joy of Giving Lifecare Program and WYF Leadership Teams.
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What is your name?

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What is your email address?

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What is your phone number?

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How many people are in your household?

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Are any members of your household elderly or disabled?

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Are you currently receiving government assistance?

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Have you previously participated in the Joy of Giving Food Harvest Program?

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Are there any specific household or personal protective equipment items that you are in need of?

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Are you in need of any additional assistance beyond household and personal protective equipment items?

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How did you hear about the Joy of Giving Lifecare Program?

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