Personal Information ^*

We'll use this to send you updates about your request.

First Name ^*

Last Name ^*

Email ^*

Phone Number

Full Address Line and Post Code ^*

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Gender ^*

Male

Female

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What is your primary reason for contacting us? ^*

Request Support or Services

Volunteer with Us

Make a Donation

General Inquiry

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Type of Support Needed ^*

Healthcare Support

Educational Support

Disability Support

Family Support

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Describe Your Situation ^*

The more details you provide, the better we can assist you. Include information about who needs support and their specific circumstances.

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Urgency Level ^*

Immediate (within days)

Soon (within weeks)

Not urgent (flexible timeline)

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Have you worked with us before? ^*

Yes

No

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Please upload your cv

(Optional)

You can drag & drop or paste as well

Maximum file size: 10MB

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Areas of Interest

Which areas would you like to volunteer in? (Select all that apply)

Healthcare Support

Education & Tutoring

Community Outreach

Administrative Support

Event Organization

Fundraising

Advocacy & Awareness

Other

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Relevant Experience & Skills ^*

Share your background, expertise, and why you're passionate about our mission.

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What is your availability? ^*

Full-time (40+ hours/week)

Part-time (10-20 hours/week)

Flexible (as needed)

Weekends only

One-time project/event

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How long are you willing to commit for?

Short-term (1-3 months)

Medium-term (3-6 months)

Long-term (6+ months)

Flexible/Open-ended

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Are you willing to undergo a background check if required for certain volunteer roles? ^*

Yes

No

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Have you volunteered with other organizations before? ^*

Yes

No

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How would you like to donate? ^*

Financial Donation

In-Kind Donation (goods/services)

Corporate Sponsorship

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What amount would you like to donate? ^*

₦5,000

₦10,000

₦25,000

₦50,000

₦100,000

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Which program(s) would you like direct your donation to? ^*

Select all that apply

Healthcare Services

Educational Programs

Disability Support

Family Support Services

General Operations (use where needed most)

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Would you like this to be a one-time or recurring donation? ^*

One-time

Monthly

Quarterly

Annually

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Is there anything else you'd like us to know about your donation?

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What type of donation are you offering? ^*

Select all that apply

Medical supplies or equipment

Educational materials or books

Food or household items

Professional services

Technology or equipment

Other

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Please describe the goods or services you'd like to donate in detail.

Include quantity, condition, and any specific requirements for delivery or use.

/

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How would you like to deliver the donation?

Pick up from us

I'll deliver it

Shipping (I'll arrange)

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Program Preference ^*

Healthcare Services

Educational Programs

Disability Support

Family Support Services

No preference (use where needed most)

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Company Name ^*

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What is your role/title in the company? ^*

e.g., CEO, Marketing Manager, CSR Director

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Company Website

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What type of sponsorship are you interested in? ^*

Program Sponsorship (support specific programs)

Event Sponsorship (sponsor our events)

nnual Partnership (ongoing support)

In-Kind Corporate Donation

Employee Volunteer Program

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Tell us about your company and its values. Why are you interested in partnering with us? ^*

Share your company's mission and how you see a partnership benefiting both organizations.

/

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What is your approximate sponsorship budget? ^*

₦100,000 - ₦500,000

: ₦500,000 - ₦1,000,000

₦1,000,000 - ₦5,000,000

₦5,000,000+

Flexible/To be discussed

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INQUIRY DETAILS ^*

Please provide a brief subject line. e.g., Partnership inquiry, Media request, etc.

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Please tell us more about your inquiry. ^*

/

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How did you hear about us? ^*

Social Media

Friend or Family Recommendation

Healthcare Provider Referral

Community Organization

Online Search

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How did you hear about us? ^*

Social Media

Friend or Family Recommendation

Community Organization

Online Search

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How did you hear about us? ^*

Social Media

Friend or Family Recommendation

Community Organization

Online Search

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Consent to Contact ^*

May we contact you via phone, email, or WhatsApp to discuss your request?

Yes

No

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Consent to Contact ^*

May we contact you to discuss volunteer opportunities?

Yes

No

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Consent to Contact ^*

May we contact you to respond to your inquiry?

Yes

No

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Thank You for Reaching Out 💚

We've received your support request and truly appreciate you sharing your situation with us. Our team will carefully review your information and contact you within 2-3 business days to discuss how we can best support you. In the meantime, if you have any urgent questions, please reach out to us at [email protected] or +234 903 754 2055.

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Thank you so much for your interest in volunteering with Syrilla Healthcare Helping Hands Foundation! We're excited about the possibility of working with you. Our volunteer coordinator will review your application and contact you within 5-7 business days to discuss volunteer opportunities that match your skills and interests. We're grateful for your commitment to making a difference in our community!

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Thank You for Your Generosity! 💝

Our Payments team will be in touch soon to discuss further details

Thank you for believing in our mission and supporting our work

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Thank You for Your Support! 💚

We're truly grateful for your willingness to contribute goods or services to our foundation. Your generosity will make a real difference. Our team will review your offer and contact you within 2-3 business days to discuss logistics and how we can best utilize your donation to serve our community.

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Thank you for considering a partnership with Syrilla Healthcare Helping Hands Foundation! We're excited about the potential to work together and create meaningful impact in our community. Our partnerships manager will contact you within 3-5 business days to discuss how we can create a collaboration that aligns with your company's values and goals.

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Thank You for Your Message 💬

We've received your inquiry and appreciate you reaching out to us. Our team will review your message and get back to you as soon as possible, typically within 2-3 business days. We look forward to connecting with you and answering any questions you may have!

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