Student Sponsorship Form
First name of student:
*
Student ID #:
*
Name of Sponsor(s):
*
Sponsor's mailing address:
*
Zip/postal code:
*
Country:
*
Phone number:
Email address:
*
Method of payment [cheque, cash, money order, or wire transfer through Western Union]:
*
Would you like to sponsor your student for the full three years?
*
Yes
No
If not, would you like to take the sponsorship year-by-year?
Yes
No
How would you like to pay (bi-annually, annually, or lump-sum for all three years)?
*
What currency will you be paying with (Canadian $, U.S. $, or Peruvian soles)?
*
Do you wish to have updates on your sponsor student?
Yes
No
Would you like to directly keep in touch with your student?
Yes
No
© 2006, Mosqoy
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