Sponsorship Application

Sponsorship Application

HSU PA Program - 2022 Kenya Mission Trip
The HSU PA program is proud to be partnering with the AIC Children's Center in Kajiado, Kenya to provide needed medical screening and patient education this April 23rd - May 5th!

Sponsorship is a great way to help us help others -- and tax deductible way for your family or business to be showcased on our t-shirts!

All sponsors will receive a handmade t-shirt (est. delivery is end of March). It can be hand-delivered locally or shipped!

Thank you for your kindness and support! Love, HSU PA c/o 2023.

Deadline: February 15th
Referring HSU PA Student Name*

First NameLast Name
Sponsor Name*

First NameLast Name
E-mail*
example@example.com
Contact Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please select sponsorship type*

Bronze ($50)Silver ($100)Gold ($150)
If you would like to make an additional donation, please enter the amount here. (also tax deductible!)
Payment Method*

CashCheck (payable to Hardin-Simmons PA Program; CC/Memo: HSU PA Students)Venmo @HSUPAkenya (Phone# 0327)
For check payments, enter the check #.
Enter your family or business name to be displayed on our shirts.*
(Optional) For Silver/Gold sponsorships: upload your business logo.

Browse Files
Logo must be in black and white. Cancelof
Select your shirt size (Unisex)*
Shirt delivery method*
Additional Notes/Comments?
Should be Empty: