Helping Hands Data Form
Transaction Date
Last Name of Person
First Name of Person
Address of Person
Phone Number of Person
Email of Person
Full Description of Situation
Information Attachment
Name of Helping Hands Counsellor
Your Helping Hands Email Address
Helping Hands Counselor Recommendation
Additional Comments
Name of Committee Members Approving Assistance
Date Final Decision was Made
How much $ was given?
Company or Individual Paid
Check Number
Detailed description of the final decision
Additional Comments