Application for Support of a Child

Sponsoring a child in the Children for a New Haiti (IAGSDev/GAIDev) program will afford that child an education. The Sponsorship Program Fee is $50.00/month for elementary or $70.00/month for high school. Cancellations must be made at least three (3) months before the renewal date.

Children for a New Haiti (IAGSDev/GAIDev) also accepts restricted and unrestricted tax-deductible donations. Please make a secured “tax deducted” donation by clicking on “Donate Now’ or send your check to our listed address. All donations are greatly appreciated.

Children for a New Haiti
PO Box 553
Valparaiso, IN 46384-0553

Application Form:

Sponsor form

Sponsor Name
First Last
Address
Street Address City State / Province / Region ZIP / Postal Code
Today’s Date (mm/dd/yy)*
MM slash DD slash YYYY
Phone*
CELL
Email*
CONTRIBUTION PREFERENCE & PLAN
I am interested in supporting: ___ child(ren):*
I am interested in supporting child(ren):*
- girl(s)
- boy(s)
- no preference
I would like to send my support checks*
- monthly
- quarterly
- every 6 months
- yearly
- one time donation
We reserve the right to contact you for further information if necessary in order to complete the application.

Application for Support of a Child

Application Form:

Sponsor form

CONTRIBUTION PREFERENCE & PLAN

PRIVACY