HEI WHAKAPIKI MAURI INFORMATION FORM

ABOUT YOU AND YOUR WHĀNAU

We’d love to get to know you a little so that we can work with you and your whānau in the best way possible. Fill out as much of this form as you can and then hit 'submit'. 

Kaiwhakahaere Ruth Jones can help you fill this out if you want her to.  

CONTACT RUTH

Email: ruth@kanohikitekanohi.org
Call/text: 027 440 8573

If you would prefer to fill out a paper form with whānau, you can download the form here.

 

Please complete the form below

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Help us understand who those close to you are.
Which areas or pou would you / your whānau like to work on with Hei Whakapiki Mauri? * *
Whānau Survey
WE COLLECT THIS INFORMATION TO HELP DESIGN FUTURE PROJECTS FOR WHĀNAU.
Sign Off
(if completing form on behalf of whānau)
 

WHAT HAPPENS NEXT?

Kaiwhakahaere Ruth Jones looks forward to talking with you and your whānau about Hei Whakapiki Mauri, what you want to achieve and how we can work together.