Below is a sample of the emails you can expect to receive when signed up to Catholic Charities NY.
| Data Name | Data Type | Options | 
|---|---|---|
| Phone |  Text Box | |
| First name |  Text Box | |
| Last name |  Text Box | |
|  Text Box | ||
| Home address |  Text Box | |
| City |  Text Box | |
| State |  Text Box | |
| Zipcode |  Text Box | |
| State |  dropdown | AL | 
| What kind of assistance do you need? * |  dropdown | AL |