Sponsor Registration

Veteran Connection program is a network to support wounded, ill, or injured veterans while serving our country, and have no means of any income to support their dependent child(ren) and elderly parent(s). We are collaborating with individuals and communities to find sponsorship to child(ren) or elderly parent who have lost the head of the household during the war, and seeking support to survive.

Name *

Phone

Email *

Preferred Contact Method

Email
Phone
No preference

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Please indicate number of family/child you would like to sponsor

Please select Project type

Phase 1: Sponsor a child who have lost a parent while serving our country. Eligibility criteria: veteran who died while serving for our country, Household income with no income and dependent child(ren) in household (under the age of 18). • Phase2: veteran who is wounded , ill or injured. Eligibility criteria: Veteran who is wounded and transitioning back to civilian life, household with no income , dependent child(ren) in household (under the age of 18). • Phase 3: elderly and vulnerable parent of veteran Eligibility criteria: Veteran who is wounded or died while serving for our country, and Household with no income.

Message

Terms and Conditions *

I agree, authorize, and consent to the terms and conditions listed below. I certify that I have read the confidentiality and privacy policies. Failure to comply with the Terms and Conditions will result termination and Federal HIPPA violation. I hereby certify that I am at least 18 years of age and I voluntarily choose to participate in this project by electronically signing and submitting this application form.

I understand that I am signing up to participate as a sponsor of families in Alen Lewegen project; I will be the sponsor of the family (families).
I agree to keep all sponsored family (families) information confidential and shall not disclose any information and pictures on any social network, and to a third party without the prior written consent and agreement of the sponsored family and Alen Lewegen.
I understand that it is my responsibility to provide monthly financial support to the sponsored family(families) as required by Alen Lewegen project.
A confirmed Family Sponsorship occurs when you (the sponsor) actually provide receipt of the first monthly financial support of paid. I am aware that Alen Lewegen project shall request for proof of support at any point of time to confirm the sponsorship.

Sponsor Full Legal Name *

Sponsor Signature

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