Name *

First Name

Last Name

Name of Co-Partner

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Country

(###)

###

####

I pledge to sponsor the student(s) for 5 years - 4-years of high school + 1-year of University or College from 2024 to 2028. *

YES

NO

DONATION SCHEME

This amount is per student.

Monthly ($84)

Yearly ($1,000)

One time ($5,000)

Other