Register an out-of-school child Home / Register an out-of-school child Register an out-of-school child OUT OF SCHOOL CHILDREN REGISTRATION FORMOUT OF SCHOOL CHILDREN REGISTRATION FORMBURSARY REQUESTCONTACT DETAILS OF APPLICANT (THE PERSON APPLYING ON BEHALF OF THE CHILD). CONTACT DETAILS OF PARENTS OR GUARDIANS FIRST NAME OF CHILDFIRST NAME OF CHILDDATE OF BIRTH OF CHILDGENDER OF CHILD- Select -MaleFemaleCHILD'S PREVIOUS CLASSRESIDENTIAL ADDRESS OF CHILDLOCATIONStateFull AddressIS THE CHILD AN ORPHAN Yes NoWHO WAS RESPONSIBLE FOR THE CHILD'S EDUCATION AND WHY DID THE PERSON STOP? Parents Siblings Community (church, mosque, town men) NGO, another family OtherWHY?IS THE CHILD CURRENTLY OUT-OF-SCHOOL? Yes NoHOW LONG HAS THE CHILD BEEN OUT OF SCHOOL?- Select -1 YEAR2 YEARS3 YEARS4 YEARS5 YEARSMORE THAN 5 YEARS.IF YES, HOW LONG HAS HE OR SHE BEEN OUT OF SCHOOL and WHY IS He or She out-of-school?IF NO, TYPE 'NA'WHY DID THE PERSON STOP GOING TO SCHOOL?NAME OF CLOSEST PUBLIC SCHOOLDOES THE CHILD HAVE ANY FORM OF PHYSICAL DISABILITY? Yes NoDOES HE OR SHE HAVE ANY OTHER HEALTH CONDITION THAT WE NEED TO KNOW? Yes NoPreviousNextIS THERE A GOVERNMENT OR COMMUNITY SCHOOL AROUND?- Select -YESNONAME OF SCHOOLWHAT IS THE ESTIMATED DISTANCE FROM THEIR PLACE OF RESIDENCE TO THE SCHOOL AROUND?- Select -1-3 KM4-6KM7-10KMMORE THAN 10 KMSCHOOL ADDRESSFULL NAME OF SCHOOL CONTACT PERSONPHONE NUMBER OF SCHOOL ADMINISTRATORPreviousNextYour Full NameYour Phone Number What is your relationship with the child you are applying for?PreviousNextFULL NAME OF GUARDIANRELATION TO CHILD (Parent, sibling, guardian, neighbour)PHONE NUMBEREMAIL ADDRESS OF THE PERSONHOW DID YOU HEAR ABOUT IA-FOUNDATION? Website Instagram Facebook LinkedIn YouTube Newspaper Radio or TV Webinar or online events Staff / Volunteer Other People Charity Walk/FlierConsent for Use of Child's Image for Sponsorship N.B: IA-Foundation showcases selected beneficiaries on its sponsorship portal to help raise support for their education. Are you happy for IA-Foundation to use your child’s photograph and relevant information on its sponsorship portal for the purpose of securing educational sponsorship? Yes, I give consent No, I do not give my consent Previous Submit Form
