Apply for support

A. Personal information

Full name *

Date of birth *

Gender *

State of origin *

All 36 states and the Federal Capital Territory (Abuja).

Local government area (LGA) *

Type the name of your LGA (local government area).

Phone number *

Email address *

Residential address *

B. Background information

Education level *

Occupation / student status *

Household income band (monthly, indicative) *

Family situation *

C. Need assessment

What support is required? *

Education Health Business / entrepreneurship Community support Other

Why is this support needed? *

Urgency level *

Low Medium High

D. Supporting evidence

School admission letter / academic results

PDF or image. Max 4 MB each (demo limit).

Medical report

Business plan

Passport photograph of applicant *

Recent head-and-shoulders photo on a plain background. JPG or PNG, max 4 MB.

ID card of applicant *

National ID, passport, driver’s licence, voter card, or NIN slip: photo or PDF. Max 4 MB.

E. Referee / validator

Referee full name *

Referee phone number *

Referee email address

If provided, your referee may receive a short automated heads-up when you submit (in addition to your own confirmation email).

Relationship to applicant *

F. Consent & declaration

I agree to the Foundation’s fair processing of my data for assessment and programme administration. I confirm that the information provided is true and complete to the best of my knowledge. If supported, I will provide timely updates and cooperate with monitoring requests.

Type your full name as digital confirmation *

This must match your legal name entered above.