Child Support Program, Sponsor Application

NOTE: if you were directed to this webpage from another place than our website, please consider reading more about the Help Liberia Foundation IF YOU ARE INTERESTED IN SPONSORING A CHILD, YOU MAY WANT TO BEGIN FROM CHOSING A CHILD HERE: Child Support Program
Contact us if you have any questions. Thank you!

Please carefully fill out the fields in this form. The information is gathered to help us get to know you and contact you after we receive this application. Should you have any questions before you send this application, please feel free to contact us through e-mail, write or call our headquarters in Poland.

Please note that the fields marked with * are required fields.

Option One: You choose the children to sponsor

Full name and ID of the child* (The ID is displayed at the bottom of the information about the child. If you want to sponsor more children and give us multiple IDs, please separate them with commas, leave blank when chosing Option Two):

Option Two: You authorize the Foundation to choose the children

I would like to sponsor child(ren). Please make the best choice for me, based on the situation of the child(ren).

Boys are preferred when making your choices;
Girls are preferred when making your choices;
Sex of the child(ren) is irrelevant to me, just chose based on how much they need help.

Note: if you chose Option Two, Help Liberia Foundation reserves the right to choose children available for support that were not put on the list on this website.

Type of support

Please choose the amount you want to pay monthly:
 US$15Full support (tuition, hot meals and healthcare)
 US$7Partial support (tuition only)

Please declare how long you want your commitment to last:
(These options apply to all the children chosen above, if more than one)
I promise and declare to sponsor the above child until he/she finishes primary school
I promise and declare to sponsor the above child until he/she finishes high school
I promise and declare to sponsor the above child until he/she turns 18 years old

Date of when the first donation will be sent:
Day:   Month:  Year:

Information about the Sponsor

 Mr.   Ms.  Mr. and Mrs.

First Name(s)*

Last Name*:

Name of institution (You may use both lines, fill if applicable):

Who is the official Sponsor?
 The individual    The institution

Do you (your institution) sponsor any other children?
 No;
 Yes, through the Help Liberia Foundation;
 Yes, in another similar program.  

If yes, how many children?

Sponsor’s occupation (optional):

Street Address of the Sponsor

Primary address (Second line optional)*:

City (And state, if applicable)*:

Area code or ZIP code*:

Country*:

 

Temporary address (Optional):

City (And state, if applicable):

Area code or ZIP code:

Country:

 

Telephone and e-mail address of the Sponsor

Phone (international format)*:

Fax (international format):

Sponsor’s valid e-mail address*:

Comments (optional)

Your comment or any additional information you would like to provide (do NOT send any sensitive information, like credit card data!):

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Liberian children
Join the Child Support Program. Pick a child who will get education for just $7 per month if you sign in.
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