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UVM Home Health Sign Up Information

Last Updated:

6/25/2020

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Data Held

Email Address

Your Name

First Name, Last Name

Your Address

Home Address, City, State, Country, Zipcode

Phone Number

Phone

Post-Registration Data

We are still gathering data about this website

Validation

This site did not show evidence of storing passwords in plaintext.

This site does allow secured connections (https)

This site did show a clear way to unsubscribe from their emails

This site does verify your email address.

Membership Emails

Below is a sample of the emails you can expect to receive when signed up to UVM Home Health.

Thank You For Your Donation...

Raw Data Registration Structure Registration Form Text

Registration

First name

Last name

Title

Phone

Home address

City

State

Zipcode

State*

One-time Donation or Pledge Payment

Recurring Donation

One-time Donation or Pledge Payment

State*

Donation in Installments** Paid Monthly

Area You Wish to SupportWhich area of Home Health & Hospice are you looking to support?

Home Health & Hospice Mission (The Annual Fund)

State*

All Programs1. McClure Miller Respite House2. Adult Day Program3. Home Health Services4. Hospice & Palliative Care ProgramOptional Attribution I wish to make a donation in memory or in honor of a loved one.

in memory of

State*

Payment Information

I prefer to make this donation anonymously.

My company will match this gift.

Data Name	Data Type	Options
First name	Text Box
Last name	Text Box
Title	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
	dropdown	State*
One-time Donation or Pledge Payment	option
Recurring Donation	option	One-time Donation or Pledge Payment
	dropdown	State*
Donation in Installments** Paid Monthly	option
	option	Area You Wish to SupportWhich area of Home Health & Hospice are you looking to support?
	option	Home Health & Hospice Mission (The Annual Fund)
	dropdown	State*
	checklist	All Programs1. McClure Miller Respite House2. Adult Day Program3. Home Health Services4. Hospice & Palliative Care ProgramOptional Attribution I wish to make a donation in memory or in honor of a loved one.
	checklist	In memory of
	dropdown	State*
	dropdown	State*
	checklist	Payment Information
	checklist	I prefer to make this donation anonymously.
	checklist	My company will match this gift.
	image