Hope Identification Form
This form is designed to capture the details of an aspiring sponsor and the child that they wish to start sponsoring through the organization of CHIM
We therefore wish to heartily welcome you to the journey of transforming lives through our charity touch operations. We treasure you for making this passionate and bold step of faith in joining us on the path of BUILDING HOPE TOGETHER. Click "Yes" to start your journey with us.
*
Yes
No
Back
Next
PERSONAL DETAILS
Ardently provide your personal details in this section. Be well assured that the ministry provides high level of confidentiality or privacy of the details provided in this section and that they will only be used for the purpose of the sponsorship program under the organization.
Full Name
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Sex
Please Select
Male
Female
Occupation
Religion
Please Select
Christian
Islam
Hinduism
Buddhism
Judaism
Other
If other, kindly specify;
Cell Contact
Please enter a valid cell phone number.
Work Contact
Please enter a valid work phone number.
Email
johnbrown@domain.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Back
Next
SPONSORSHIP DETAILS:
Kindly provide the respective details of the child you wish to begin to sponsor through the ministry of Covenant Heart International Missions - Zambia.
Have you identified a child you would like to sponsor in our Educate One Hope Journal?
Yes
No
CHILD DETAILS
Child Name
First Name
Last Name
Child ID:
Sex
Please Select
Male
Female
Age
Date of birth
-
Month
-
Day
Year
Date
Vulnerability Category
Please Select
A - More Critical Vulnerability
B - Critical Vulnerability
C - Moderate Vulnerability
Kindly provide the details of what touched your heart about the child, if any?
But, I would like to sponsor:
Boy
Girl
No preference
Preferred age range:
5 - 7 years
8 - 10 years
11 - 12 years
13 - 15 years
No preference
Preferred vulnerability category:
A - More Critical
B - Critical
C - Moderate
No preference
Back
Next
SCHEDULE AN APPOINTMENT WITH US
How did you know about us?
Internet
Word of Mouth
Event
Other
Would you like our team to contact you?
Yes
No
What mode or platform would you like us to get in touch with you?
Google Meet
Zoom
Email
Direct call
Other
Schedule an appointment with us
Are there expectations, questions or comments you would like us to know before the appointment?
Yes
No
Kindly share your hearty expectations, questions or comments here;
Kindly confirm if the information captured is correct and accurate before making your submission? If fully persuaded click "yes" then submit:
Yes
No
Submit
Should be Empty: