Apply for support · Free

Tell us what you need

Anyone in need can apply, whatever their faith. This takes about ten minutes. We check every application with the hospital or school, then the family decides. We pay the hospital or school directly.

What do you need help with? A hospital bill Treatment, surgery or admission someone cannot pay for. School fees A session's fees for a student at risk of dropping out. Scholarship renewal For current Clementine Amondi scholars, each session.

1About you

You can apply for yourself or for someone else. We will contact you, not the patient or student.

Your full name

You are applying

Phone number

We send your reference number and our decision to this number.

Email (optional)

Only if you use email.

State

Town or city

2The patient and the hospital

Patient's full name

Patient's age (optional)

Hospital

Hospital's town or city

Illness or condition

What treatment is needed? (optional)

Amount on the hospital bill

How much can the family pay? (optional)

Doctor or accounts officer to call

We call them to confirm the bill.

Their phone number

A number at the hospital, not the patient's.

When must the bill be paid? (optional)

2The student and the school

Student's full name

School, college or university

School's town or city (optional)

Course or class

Level or year

Session

School fees for the session

How much can the family pay? (optional)

Bursary or school office contact (optional)

2Your scholarship

Scholar's full name

School or university

Session the result is for

Semester

Your result

Fees for the next session

3Your story (optional)

Anything else the family should know

For example, what has happened, who else is helping, or why it is urgent.

4Documents

Take clear photos in good light, with the whole page in view, or upload PDFs. You can add several pages to each document.

Tell us what you need

1About you

2The patient and the hospital

2The student and the school

2Your scholarship

3Your story (optional)

4Documents

5Declaration

We have your application