To become a supporter of Sherman Healthcare Foundation, you can make a donation. We accept help from individuals and corporate entities. You may leave a donation in one of our donation boxes, located in the lobby of each of our offices, or participate in our corporate sponsorship program.

For Child Sponsorship please copy print and send back form to Us 

                                

SHERMAN HEALTH CARE FOUNDATION

                                       Application for Child Sponsorship

All information is confidential and used only as necessary. All information is required.

                                                                                                           Date: ___________________________

Personal Information

Sponsor name or sponsoring organization: ____________________________________________________________

 

Contact person if organization above: ____________________________________________________________

 

Address: ____________________________________________________________________________

 

City: _____________________ST: ____________________ Zip: _____________________

 

Place of employment: 

____________________________________________________________________________

 

Title: 

____________________________________________________________________________

Telephone: (work) ________________________ (cell) ____________________

Email:___________________________

 

Please help us grow the Education Program by providing the names and contact information for someone that you think might be interested in providing a scholarship for a needy child. (If you have more than one please list on the back.)

 

Name_____________________________       Email:  ______________________________

Phone: __________________________________________

Address:  ____________________________________________________________________________

 

Commitment to the program.

 I agree to provide ________scholarship(s) in the amount of $480 without a specific name being provided.      

                                       (number) 

I agree to provide ________ scholarship(s) in the amount of $480, but I would like to retain the child or children by name.

                                      (number)     

How would you like to pay

Annually by check, write check in the names,

Sherman Health Care Foundation

           And send it to

          P.O.Box 888

          Kampala, Uganda

Monthly by automatic checking account debit.

Account Name: Sherman Health Care Foundation

Account Number: 01186410003

Swiftcode: AFRIUGKA

Please print out form and email/post it to

info@shermanhealthcarefoundation.org

Sherman Health Care Foundation

P.O.BOX 888

Kampala Uganda