ENGLISH LEARNING

* indicates a required field.

The below questionnaire is for orphanages looking to participate in English Learning through the #Each1TeachOne campaign for children under their care. The responses will help assess areas of need to understand where to prioritize and quickly deploy our resources for optimal support. By fostering learning and personal growth, the program helps break the cycle of poverty and opens up new opportunities for success and self-reliance.

FORM 5B

Passport to the World – Building Confidence Through English

Step 1 of 2

1) ORPHANAGE INFORMATION:

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Head Master:

Children:

Facebook / Website page:

Email Address:

Years in Service:

Telephone No:

CONTACT INFORMATION *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

3) ORPHANAGE LEADERSHIP ON SITE?

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4) ARE THE CHILDREN CLASSIFIED AS ORPHANS OR NON-ORPHANS IN THE ORPHANAGE?

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5) ENGLISH LANGUAGE SKILLS AMONG LEADERS:

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6) COMPUTER SOFTWARE SKILLS:

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The head orphanage/caretaker will initiate the form with the support of the Foundation's Orphanage Ambassador representatives (If Required)

7) ACCESS TO ABC ENGLISH LEARNING: ANY PREVIOUS ABC ENGLISH LEARNING RELATED TRAINING RECEIVED OR PARTICIPATED?

8) DO YOU HAVE SPECIFIC GOALS AND ASPIRATIONS FOR THE CHILDREN LIVING UNDER YOUR CARE?

9) DO YOU OFFER ANY OPERATIONAL SUPPORT DURING THE CHILDREN'S ABC ENGLISH LEARNING JOURNEY?

10) DO YOU OFFER ANY MOTIVATIONAL SUPPORT DURING THE CHILDREN'S ABC ENGLISH LEARNING JOURNEY?

Chid's Response

12) DO YOU HAVE THE NAMES OF PARTICIPATING STUDENTS?

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13) IS THERE ANYTHING ELSE YOU'D LIKE US TO KNOW ABOUT YOUR ORPHANAGE?

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Do you have Dedicated Classrom Facilities? *

Do you have After-School Tuition at Your Orphanage Home? *

Do you Receive Regular Donations? *

Do you have achievement certificates, recommendation/reference letters, or photo collections from your recent activities to upload?

The information provided in the above ABC English form is true and accurate. I accept the Terms and Conditions and Privacy Data Collection Policy. I agree that the relevant committees will only use the information for evaluation purpose. I will provide references upon request after the initial assessment.

Acknowledgment by Submitter: (Reg. Form 5B Rev.5 2024)

Address Line 1

Address Line 2

City

State / Province / Region

Country

Date

Phone / Fax / Viber Number

Email: / Signature: *

WAIVER AGREEMENT & PRIVACY DATA COLLECTION POLICY *

Please click to read and accept in order to proceed.

Please send other useful information to signup@marykyapfoundation or fax to +1 415 901-0305. (Eg. organizational mission and objectives, photos, press-release if available)

The information provided in the above volunteer form is true and accurate. I accept the Terms and Conditions, WAIVER AGREEMENT and PRIVACY DATA COLLECTION POLICY.

I acknowledge that the relevant committees will only use the information for evaluation. I will provide any character reference upon request and after the initial assessment.

Contacts

ENGLISH LEARNING

* indicates a required field.

FORM 5B

English Learning

The head orphanage/caretaker will initiate the form with the support of the Foundation's Orphanage Ambassador representatives (If Required)

HEAD OFFICE:

PROJECT OFFICE:

PROGRAMS

GET INVOLVED

SEAL OF TRANSPARENCY