Read our Privacy Policy.

* = Required fields

*FULL NAME:    

DATE OF BIRTH:  (Mo/Day/Year)           *GENDER    MaleFemale   

SPOUSE'S NAME (if applicable): 

*MAILING ADDRESS: 

*Street

*City

*State/Province

Zip/Postal Code

*Country

*PHONE: 

(Include Area Code  &  Country Code if other than US)

ALTERNATE EMAIL:   

BACKGROUND

-Tell us something about yourself that we can share with the sponsored child's family.

Use this section to provide a scholarship for a student(s):

I am providing a monthly scholarship for (number) student(s).

NAME(s) OF THE CHILD(ren)/STUDENT(s)

(Select a name and type or copy & paste it)

AREA LISTED ON CHILD'S PROFILE (under child's name)

(This helps verify child's ID.)

AMOUNT OF MONTHLY SUPPORT per child/student

(Scholarship support is $15/month)

$

With God's help, I/we will provide a scholarship until educational training is complete(check),

OR for years. 

AMOUNT OF INITIAL DONATION (If donating today):  $

METHOD OF PAYMENT*:  

Online (Paypal/Credit Card)   or  Mail (Check/Money Order)

*Click here to open a new window with instructions on how to send your pledge. 

For your convenience, you can also set up automatic monthly payments through a PayPal account.

*DATE YOU WILL BEGIN SPONSORSHIP:    (mo/day/year)

*SIGNED:    (You may type this)      

*DATE:  (mo/day/year)

SPOUSE SIGN         DATE: