New Education Sponsorship Form

Guidelines for completing Education Sponsorship Case Form
Please complete ALL sections of this form accurately. Note that incomplete forms will NOT be accepted.
Do not fill the form in CAPITALS.
To reduce errors, please complete the form electronically, NOT by hand.
The form MUST be signed by the person who completes it.

PHOTOGRAPH

Please include a full length photograph of the child.
Please include a photo of the child’s family, preferably outside their home.
If the child lives in an orphanage you can send a photo of the child with their friends/or the guardian of the orphanage.
Please make sure that the photograph is of a high quality, in particular, ensure that the photograph is not blurry and the lighting is good.
Ensure that the photograph is taken at home or school, NOT at a studio.

CHILD'S CURRENT SITUATION

Please explain the current financial situation of the family. Some points to consider: Does the mother work? Does this family receive any support from other family members or friends? Why does this family need support?

Child Details

First Name

Last Name

Date of Birth

Age

Gender

Male Female

Child Address

Medical Conditions

Languages Spoken

Interests & Hobbies

Career Aspirations

Ethnicity

Religion

Family Details

Father's Name

Cause of Death:

Date of Death:

Mother's Name

Cause of Death:

Date of Death:

No. of Siblings:

No. of Brothers

No. of Sisters

Current Guardian Name

Guardian Address

Relationship to child:

How is the family currently supported?

RESIDENCE

Child is Living At

Home Orphanage Other

Walls:

Earth/Mud Wood Brick Metal Tile Slate Other

Roof:

Earth/Mud Wood Brick Metal Tile Slate Other

Floor:

Earth/Mud Wood Brick Metal Tile Slate Other

Water Source

Village Well Hand Pump Running Water Pond/River Jerry Cans Other

Cooking Facilities:

Hob & Oven Dry dung Charcoal Firewood Other

Sanitary Facilities:

Toilets in home Toilets outside Pit Latrines Shrubs Other

No. of bedrooms:

Access to electricity?

Yes No

School Details

Is the child currently at school?

Yes No if no and the child is of school age,
How many years of school have they completed?

Name of School:

School Address: (Road, Area, Village, City, District, Postcode, Country)

Class / Grade

No of Pupils in Class:

Additional comments: if not in school explain or not in the class that correlates with their age explain why?

Name of Teacher:

List of Subjects:

Distance to School (km):

Mode of Transport to School:

Any other Information:

CERTIFICATION

Name of Person Completing Form

Contact Number

Date

Document Uploads

Child’s Birth certificate

Father’s Death Certificate

Most recent school report (if child is currently at school) Full Length

Child Photo

Family Photo

Guardian / Widow ID card / or any means of verification.