AFRIKAYA

www.afrikaya.co.uk

AFRIKAYA CHILD SPONSOR APPLICATION

Please note that applicants must be over 18 years old

Personal Details
Name:

Address:

Phone:
Mobile:
Email address:

How Did You Hear About Afrikaya?

How many children do you wish to sponsor?

Safeguarding
Afrikaya takes child protection very seriously. If you have ever been convicted of an offence
against a child, please tell us. This information will be held in the strictest confidence.
Date of conviction: Nature of conviction:
If you are a UK citizen, do you have an up to date Disclosure & Barring Service [DBS]- this
was formerly called CRB check. YES/NO
If YES, date of DBS [or CRB] check:
Which organisation arranged for the DBS [or CRB] check:
If NO, please give the name and address of someone who has known you for at least 10
years from whom we can obtain a reference.
………………………………………………………………………………………………………………………………………
Statement: Afrikaya will not maintain a relationship with a sponsor or supporter knowing that the
person does not respect basic human rights or privacy and protection from harm.

February 2018
 Afrikaya Policies and Privacy Statement
You can find the policies by going to our website http://www.afrikaya.co.uk/?page_id=59

I have read the following policies and agree that I will adhere to them.
1. Afrikaya Child Protection Policy
2. Afrikaya Child Sponsorship Policy
3. Afrikaya Visits Policy
Statement: When sponsors knowingly go against Afrikaya’s policies, Afrikaya reserves the
right to bring the relationship to a close and to take follow-up action with external bodies as
appropriate.

I have also read and accept Afrikaya's Privacy Statement

Signed: Date:

Please Note: Forms returned by email should state in the email that you agree to adhere to all 3 policies and
accept the Privacy Statement

Donation Towards Sponsorship

The cost of sponsorship to you is £10 per calendar month. You can pay by Direct Debit
[please ask for details]. If you are a UK tax payer, then Afrikaya would prefer you to pay
monthly [or yearly] via Virgin Money Giving as it makes claiming Gift Aid so much easier. We
will send instruction on how to set this up.
If you are not a UK tax payer then you can still pay via Virgin Money Giving or set up a Direct
Debit from your bank account. We will send you details of our bank account on request.
I wish to pay via:
1. Virgin Money Giving YES / NO (please delete as applicable)
2. Please send me Afrikaya UK bank details YES / NO (please delete as applicable)

What Do I Do Now?
Once you have completed the form please:
Email to: afrikayathecharity@gmail.com
or
Post to: Afrikaya, 19 Wilcot Village, Pewsey, Wiltshire, SN9 5NN

What Happens Next?

We will respond to your application within 10 working days.

If your application is declined, you will receive notification in writing by the Afrikaya Chair of Trustees advising
you of this decision.
Once accepted and your sponsorship payments start, you will be sent details and a photograph of your
sponsored child as soon as they are available.

February 2018