MEN’S EMPOWERMENT PROGRAM
PO.BOX 424 ENTEBBE
UGANDA
Email: unlimitedclub800@gmail.com
Name………………………………………………………………………………………………
Date of birth…………………………………….Age…………………………………………….
Telephone………………………………………Single or married……………………………….
Address………………………………………...Email…………………………………………….
What is your level of Education? ……………………………………………………………………………………………………………………………………………………………………………………………………………..
What are your specific needs? …………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………………………………............
Is the man sick? If yes specify
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
What is your great need? Go to University, Technical school, Bible school, Adult education, learn handcraft or any other specify
………………………………………………………………………………………………………………………………………………………………………………………………………………
Pastor’s name……………………………………………………………………………………….
Church………………………………………………………………………………………………
Tel…………………………………………………………………………………………………..
Email……………………………………………………………………………………………….
Support requirements
2 passport size colored photos
Attach all your qualifications
Registration fee Ug sh 5000/=
WOMEN’S EMPOWERMENT PROGRAM
PO.BOX 424 ENTEBBE
UGANDA
Email: unlimitedclub800@gmail.com
Name………………………………………………………………………………………………
Date of birth…………………………………….Age…………………………………………….
Telephone………………………………………Single or married……………………………….
Address………………………………………...Email…………………………………………….
What is your level of Education? ……………………………………………………………………………………………………………………………………………………………………………………………………………..
What are your specific needs? …………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………………………………............
Is the woman sick? If yes specify
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
What is your great need? Go to University, Technical school, Bible school, Adult education, learn handcraft or any other specify
………………………………………………………………………………………………………………………………………………………………………………………………………………
Pastor’s name……………………………………………………………………………………….
Church………………………………………………………………………………………………
Tel…………………………………………………………………………………………………..
Email……………………………………………………………………………………………….
Support requirements
2 passport size colored photos
Attach all your qualifications
Registration fee Ug sh 5000/=
YOUNG MEN AND WOMEN EMPOWERMENT PROGRAM
PO.BOX 424 ENTEBBE
UGANDA
Email: unlimitedclub800@gmail.com
Name………………………………………………………………………………………………
Date of birth…………………………………….Age…………………………………………….
Telephone………………………………………Single or married……………………………….
Address………………………………………...Email…………………………………………….
What is your level of Education? ……………………………………………………………………………………………………………………………………………………………………………………………………………..
What are your specific needs? ……………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………………………………............
Is the man or woman sick? If yes specify
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
What is your great need? Go to University, Technical school, Bible school, Adult education, learn handcraft or any other specify
………………………………………………………………………………………………………………………………………………………………………………………………………………
Pastor’s name……………………………………………………………………………………….
Church………………………………………………………………………………………………
Tel…………………………………………………………………………………………………..
Email……………………………………………………………………………………………….
Support requirements
2 passport size colored photos
Attach all your qualifications
Registration fee Ug sh 5000/=
CHILD DEVELOPMENT PROGRAM
PO.BOX 424 ENTEBBE
UGANDA
Email: unlimitedclub800@gmail.com
Name of child……………………………………………………………………………………….
Date of birth…………………………………………… Age……………………………………...
Parent/ Guardian’s Tel number……………………………Address……………………………….
Email………………………………………………………………………………………………..
Is the child ever sick? specify………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
What class is the child in?..................................................................................................................
What are the specific needs of the child……………………………………....................................
………………………………………………………………………………………………………
What are the pants, shirt and shoe sizes.............................................................................................
……………………………………………………………………………………………………
Pastor’s name…………………………………………………………………………………. church ……………………………………………………………………………………………
Tel …………………………………………………………………………………………………
Email………………………………………………………………………………………………
Requirements for school fees sponsorship
2 passports size colored photos (the child’s)
Report form of the previous term
Registration fee: Ug sh 3000/=
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