Secondary School Sponsor Program Form

We are excited to have you be a part of our EFAC community! Your support of our Secondary Program provides 4 years of education to an EFAC Scholar. Thank you for helping make this a reality for these hard-working students!

4-Year Commitment Type*

Individual Sponsorship -- I pledge an annual $1,000 payment for 4 years.Group Sponsorship -- We encourage groups of up to 4 members to support a student together.

Stripe Donation Detail

Individual Sponsorship Payment Frequency*

One-time: I want to pay $4,000 to cover the four-year sponsorship.Annual: I pledge an annual $1,000 payment for 4 years.Monthly: I pledge a monthly $83 payment for 48 months.

I am a member of a sponsor group and pledge an annual $ annual amount for four years. Please provide a fun name for your group: .

A part of our program is exchanging letters with the student you sponsor three times a year. Would you like to opt in to letter writing? (Please note that all students receive letters from a member of the EFAC community. Declining this opportunity does not mean the student will not receive a letter.)

YesNo

Sponsor Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone

E-mail

example@example.com

Child Safeguarding

While participating in EFAC's Sponsor Program it is crucial to support and protect the well-being of scholars in our program. We ask that you please review the following points and check the box that follows to acknowledge and affirm this statement:

Instantly report any concerns about a student's welfare or academics to the Sponsor Program Manager. Reports will be handled expediently, sensitively, and confidentially.
Treat all EFAC Scholars fairly without favoritism or discrimination.
Do not provide EFAC Scholars with gifts, money, personal needs, or other items or financial support without prior authorization from EFAC.
Do not use language that makes suggestions or gives advice that is inappropriate, insulting, offensive or abusive.
Avoid controversial topics, politically or socially charged comments.
Do not visit the home or school of an EFAC Scholar without the direct involvement and coordination of a member of the EFAC staff.

I acknowledge the child safeguarding section above:

Yes, I acknowledge

Signature*

Signature Date*

Date

Payment Method:*

Pay Online Now (One-Time Donation)Set Up a Recurring Monthly Donation: The link will be provided on the Thank You page upon completion of this formInvoice Me: EFAC will send an invoice which can be paid online or via check

One-Time Donation Amount

USDSecondary Sponsorship Payment

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration