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Fund Scholarship Form
Thank you for funding a personalized scholarship for the children at Mizizi Gardens, our transitional housing development. We’re excited for you to share in their success. This is a great opportunity and 100% of your donation goes directly to their education or business capital/training. Please fill out the form below to process the scholarship. We are pleased to send you a plaque (if desired) in recognition of your donation. This can be for yourself, your business, or a gift for someone else. If you have any questions email us at contact@shambafoundation.org
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Full Name
*
First
Last
Email
*
Phone
*
Scholarship/Grant Options
Select one
Primary School Scholarship - $250.00
High School Scholarship - $320.00
Business Grant - $500.00
Please select the scholarship you wish to fund. If you would like to make a general donation in a custom amount, please visit our donations page.
Would you like to receive a plaque in recognition of this donation?
Yes
No
Plaque Personalization
*
What is the name you would like on the plaque, exactly as it is written? (i.e. The Jones Family Scholarship)
Name and Address you would like the plaque mailed to:
Name
*
Address
Address Line 1
Address Line 2
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