Scholar Recruitment Form

Scholar Recruitment Form

Fill out the form carefully for registration
Mother Name*

First NameLast Name
Father Name*

First NameLast Name
Scholar Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail*
example@example.com
Student E-mail
example@example.com
Parent Mobile Number*
Scholar Mobile Number
Scholar Emergency Contact Number*
Are you prepared to support your scholar in this journey?*

YesNo
Please describe your scholar in a few words*
What is the most important knowledge you want your scholar to walk away with?*
Why are you interested in joining Afrikans On The Rise? *
What does Pro Black mean to you? *
Do you consider yourself Pro Black*

YesNo
How did you hear about Afrikans On The Rise *
I will make monthly payments using which payment method?*

ZELLE$CASHAPP
Payments are due before end of second week every month.

ZELLE: theaotr3@gmail.com

$CASHAPP: $aotr3dee
Should be Empty: