Louidor Roselène – Compassion For Humanity.inc

CHT-101-066

13 Years Old

Female

Sixth Grade

Please Fill out the partnership form below to sponsor this child

First Name *

Middle Name

Last Name

Sponsor Code

Sponsor Occupation

Sponsor's Faith / Religion *

Country

Age

Sex

Civil Status

Home Phone *

Work Phone *

Email Address *

Select your Plan

Plan 1 – $50

Plan 2 – $100

Plan 3 – $200

Other Plan – $0

To ensure the full wellbeing of my child in the family environment, i will provide a temporarily, voluntary, and discretionary small extra financial support to the family unit/legal guardian to restore hope and help elevating my chill and his/her family above extreme poverty. (The sponsor has the right to say yes or no to part 15).

To Support *

Age

Sex

Grade

Comments / Questions

Signature *

Date *

Select Payment Method