 |
| Mrs. Jenipha Wasonga the director ACTS |
11 February 2014
ADVOCACY MENTORSHIP AND SANITARY TOWELS PROJECT
31 January 2014
AGAPE COMPASSIONATE FUND
This is
an entry point for individuals, groups, association, alumni and friends of
Agape Counseling and Training Services to support the programs there in. Members
can come in as ordinary members, associate members, and corporate members and
alumni members, through being stake holders, special interest groups or
consumers of the programs.
A.
MEMBERSHIP LEVELS
ORDINARY MEMBER
These
members participate in the funding and running of the programs once in a while.
They choose programs they would wish to be involved in and can give their
contributions once in a year.
ASSOCIATE MEMBERS
These
members participate by regular basis. They choose programs and decide on a
format of funding, which could be monthly, quarterly, or yearly.
CORPORATE MEMBERS
These
are groups or organizations that wish to work with agape counseling and
training services. They choose a number of programs and activities that they
want to fund, partner and collaborate in their running. Their contributions
should be consistent as they will be key partners.
ALUMNI MEMBERS
These
are former beneficiaries of the agape counseling and training services programs
and would wish to be involved in the funding and running of the same programs,
or any others of their choice.
The table below shows the various categories
explained above. Choose carefully and tick in the boxes any membership level
that suits you.
|
MEMBERSHIP
|
CONTRIBUTIONS
|
||||
|
MONTHLY
|
QUARTERLY
|
YEARLY.
|
AMOUNT
|
EFFECTIVE DATE
|
|
|
ALUMNI
MEMBER
|
|
|
|
|
|
|
ORDINARY
MEMBER
|
|
|
|
|
|
|
ASSOCIATE
MEMBER
|
|
|
|
|
|
|
CORPORATE
MEMBER
|
|
|
|
|
|
A.
PROGRAMS
The
following table shows the programs that currently are running. Please read them
carefully and choose the program (s) that you desire to be involved with.
|
|
PROGRAMS
|
PLEASE TICK HERE
|
|
|
1.
|
Girl
Child Advocacy And Sanitary Towel Project
|
|
|
|
2.
|
Youth Empowerment
|
Peer Counseling
|
|
|
Reproductive
Health
|
|
||
|
3.
|
HIV Testing And Counseling Services
|
|
|
|
4.
|
Orphan
Support Project
|
|
|
|
5.
|
Administrative Support
|
|
|
|
6.
|
Marriage
Nourishment
|
|
|
|
7.
|
Loss, Grief &
Bereavement Support
|
|
|
B.
MEMBERS DETAILS.
The
following personal details would be needed in the agape compassionate fund
database.
i.
INDIVIDUAL
MEMBERS
NAME: ………………………………………………………………………………………………………
(SURNAME) (MIDDLE
NAME) (FIRST
NAME)
GENDER: (Please
Tick) o MALE o FEMALE
NATIONALITY: …………………………………………………………………………………..
POSTAL ADDRESS: ………………………………………………...……………………………
EMAIL ADDRESS: ………………………………………………………………………………
TELEPHONE CONTACTS: …………………………………………...………………………
ii.
CORPORATE
MEMBERS (Groups, Organizations, Associations etc)
NAME: ………………………………………………………………………………
POSTAL ADDRESS: ………………………………………...………………………
PHYSICAL ADDRESS: ……………………………………………………..………
EMAIL ADDRESS: …………………………………………………………………
WEBSITE: …………………………………………………………………………
C.
ADDITIONAL INFORMATION
i.
How
did you come to know about Agape Counseling and Training Services? (Please Tick)
o BANNER
o WALK IN
o FRIEND/ORAL
o WEBSITE
o GOOGLE SEARCH
o BLOG SITE
o
POSTCARD/ MAILING
ii.
How will you submit your contributions? (Please Tick)
o
CASH
o
BANKERS CHEQUE
o
MPESA
o
WESTERN UNION
D.
COMMITMENTS
I/We agree to be a member/members of Agape Counselling
& Training Services and to participate in the program identified above by
faithfully paying the above and give my/our contribution amounting to………………….
SIGNED……………………………… DATE…………………………
E.
FOR OFFICIAL USE.
DATE RECEIVED................................. MEMBERSHIP
NO…………………………
APROVED BY:
B.O.M CHAIRMAN……………………………........ SIGN……………… DATE……..........
B.O.M SEC………………………………………… SIGN……………… DATE……..........
VIDE B.O.M COMMITTEE MINUTE NO………….............................……. DATED……............
Subscribe to:
Posts (Atom)