GCU Cares Request for Assistance

Please complete this form if you or a memeber of the GCU community you know is in need of assistance in the wake of Hurricane Sandy. This process us will help us best coordinate volunteer efforts and resources.

Name of person reporting:

 
Are you:   
Phone:    
E-mail:    
Name of person experiencing hardship:     
Is there a contact number or e-mail for the person experiencing the hardship? If yes, please provide contact information.

  

Hometown of person experiencing hardship:    
Nature of hardship (please check all that apply): 

 

Other:  

 

 

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