Secret Angels 'General Assistance' Application

Secret Angels 'General Assistance' Application
Thank you for reaching out to the Secret Angels. We are here to provide assistance and support during your time of need. Please fill out the following form to help us better understand your situation and requirements.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please tell us a little bit about your current situation and why you are reaching out to the Secret Angels for help
Is there any additional information you would like to provide or any specific preferences regarding assistance?
Please let us know which ONE campaign would be beneficial to you at this time*

Hope for the HolidaysBirthday WishesPack the PantryWarm it Up:Blankets & Warm ClothingNew Moms BasketsAngel in the Sky Grief & LossTidy Haven OrganizingNew Year - Fresh StartHearts & Soles(Shoes, Boots & More)Sharing with the SeniorsHearts for the ArtsNew Immigrants Welcome PackageHomemade HappinessOther
Note: We value your privacy and assure you that your personal information will be handled with utmost care and confidentiality. It will only be shared for the purpose of providing assistance and support with relevant government and community groups when necessary to provide assistance.
Date

MonthDayYear
Date
Please note: We do our best to help those in need, however our resources are limited. We will contact you if you have been selected for support.
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