1.First Name and Surname

2.Best contact (phone, email, social media handle)

3.Do you have an item that you would like to donate?

Yes, a personal care item

Yes, toiletries

Yes, a comfort item such as a soft toy or blanket

Yes, a book or journal

Yes, clothing or underwear

Yes, a craft item

Yes, multiple items

Yes, other (please specify)

4.Please describe the item/ items you wish to donate

5.Which of the following exclusion criteria apply to the item/ items you want to donate?

Used and worn

Could be perceived as offensive

Contains glass, metal, or ceramics

Can be filed or sharpened

6.Do you have any preference for how we use your donation?

7.Would you like to be updated on how your donation is used?

Yes

No

8.Would you like to contribute anything else to Integrity Initiative? (we welcome suggestions)

9.What has made you want to donate to Integrity Initiative?

10.Would you like for your donation to be recognised by a post on our Instagram?

No

Yes (please share what account you would like credited).