Intake form

Help us serve you better

Name *

Email address *

What best describes your inquiry? *

Which type of disaster are you referring to?

Please select at least one option.

Natural disaster

Economic crisis

Health emergency

Environmental disaster

Other

Please provide your location (city and state).

What is your preferred method of contact? *

Please select at least one option.

Phone

In-person visit

How did you hear about Ovanova Gives?

What specific assistance do you require?

Are you interested in volunteering? *

If yes, please specify your skills or interests.

Additional questions or comments

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