SMDP Registration - Students Mentoring and Discipleship Program

Application for SMDP

Please fill out this form completely. All fields marked with * are required.

First Name *

Last Name *

Other Names

Date of Birth *

Gender *

State of Origin *

Home Address *

School Name *

School Type *

Current Class *

School Location *

Local Government Area *

School Address

Student's Phone Number

Student's Email

Parent/Guardian Full Name *

Relationship to Student *

Parent/Guardian Phone *

Parent/Guardian Email

Parent/Guardian Occupation

Monthly Family Income Range

Parent/Guardian Address

Favorite Subject

Most Challenging Subject

Career Interests

How did you hear about SMDP? *

Why do you want to join SMDP? *

What are your expectations from the SMDP program?

Are you committed to the full SMDP program requirements? *

Yes, I understand and commit to the program requirements including regular meetings and activities

No, I need more information about the program requirements

I confirm that I am a secondary school student and all information provided is true and accurate to the best of my knowledge.

I confirm that I am the parent/guardian of the student and I give consent for their participation in the SMDP program.

I consent to TNGI collecting and processing my personal data for the purpose of SMDP program administration and communication.