Learners' Success Story Link Information
PERSONAL INFORNATION
Full Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Male
Female
Age
*
Date of Birth
*
-
Month
-
Day
Year
Year beneficiary was born
Residential Community/State
*
ACADEMIC DETAILS
Learner´s School (i.e. before Slum2School)
Name of school
Learner´s School (i.e. school enrolled in by Slum2School)
*
Name of school
Vulnerability Status
e.g orphan, physically challenged, etc.
Current Grade/Class
Year of Enrollment in Slum2School
Academic/Personal History before Slum2School
*
Challenges Before Joining Slum2School
Academic Achievements (i.e. Milestone in Slum2School)
*
STORYTELLING SESSION
Tell Us Your Story (Long Text Field: A detailed narrative in their own words)
*
The learner's story
Key Challenges Overcome
*
e.g speech deficiency
Best Memory with Slum2School
e.g learner received speech therapy
Impact, and Future Aspirations or Goals
*
Testimonials and Quotes
Personal Testimonial (A quote about their experience with Slum2School) Message to Donors/Volunteers
Extra curricular activities/special talent/skills
Upload Photo/Video
Browse Files
Drag and drop files here
Choose a file
Kindly attach photo of learner during sessions, school events, and running.
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of
Contact Information
provide contact information of parent/guardian/teacher
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to learner
father, mother, uncle etc.
Submitted by:
Designation and Location of Curator
Submit
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