Sponsor form - Kiboyo "Chosen Program"

Sponsor form - Kiboyo "Chosen Program"

Complete this form to be matched with the student who has chosen you in Kiboyo, Uganda. You do not need to sponsor a child through our website as the students in Kiboyo are not yet on the website, since they are the ones choosing YOU : ).
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you already sponsor a child through Hearts & Hope?*

YesNot yet
How many students do you wish to sponsor in Kiboyo?*
Will any other person be associated with this student's sponsorship? (husband/wife/child/friend?)
Please type name and relation of this person
Any comments about this co-sponsor (eg. would they be the one to receive the communications from the student?)
How would you like to pay for this sponsorship? (see instructions below on creating an account on our website - where you can add payment method)*
Please check if you would like to help Hearts & Hope by rounding up $3.24 per month to cover ecommerce fees.
Please check if would you like to make an annual recurring donation to the Hearts & Hope medical fund. This helps us pay for emergent medical expenses of the students in our program as they arise.

Yes, please add $100 annually for the medical fundYes, please add $250 annually for the medical fundYes, please add $500 annually for the medical fundYes, please add $1,000 annually for the medical fund
We have an online portal on our website where you will be linked with your student and can enter your payment method. It is important to create this account so you can stay updated with communications/photos from your student and we can keep track of sponsors and payments more easily. The sponsorship would start in January (school year starts in February in Uganda). If no account has been created and no payment method added, we will contact you for these details. The students will be "choosing you" in December!
If you already sponsor a child and have an account, you're all set!

If you're new here, welcome! You can create your account here: https://heartsandhope.org/account/register
Upload a photo (for which your student will choose you from the rest) *

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Add a message for your student for us to deliver when you are chosen!
Or upload a letter here (pdf or doc)

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Comments or questions
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