Ebola Care Project Signup
Complete this form to join the Ebola Care project for free and receive the Ebola Care app, Android phones and support.
* Required
Name
*
What's your name?
This is a required question
Email
*
How do we contact you?
Must be a valid email address
This is a required question
Organization
*
Which organization are you working with?
This is a required question
How many aid workers are working for your organisation?
If you don't know the exact number just make a rough guess
This is a required question
Tell us a little bit about how your orgnaization is responding to Ebola and how you'll use the phones.
This is a required question
Never submit passwords through Google Forms.