School Selection Form School Selection Form For Questions about the application please contact: Moses – 233 24 310 8787 Contact InformationSchool’s Name in Full:* Name of Preparer Filling Out the Form (Your Full Name)* Your Given Name (First Name) Your Family Name (Last Name) Are you the applicant (e.g. Headmaster, Community Leader)?*HeadmasterCommunity LeaderParentOtherExplain Your Email* WhatsApp Cell Number*Mailing Address*Information About the School’s LocationIs this a primary/nursery or kindergarten school?* Yes No What Region is your school located in?*Oti RegionBono East RegionBono RegionAhafo RegionNorth East RegionSavannah RegionWestern North RegionWestern RegionVolta RegionGreater Accra RegionEastern RegionAshanti RegionCentral RegionNorthern RegionUpper East RegionUpper West RegionThank-you for your interest, at this time, your school does not meet our qualification criteria. For questions please contact us at info@schoolsofdreams.com. Please use subject line: School Selection CriteriaHow many nursery/kindergarten children go to the school that are between ages 2-6? (Select the answer that best reflects the question from the list below)* Zero 1 – 100 100 – 199 200 – 299 299+ How many nursery/kindergarten children that go to the school (age 2-6) reside in the area? (Please provide an estimate of the number of children that this project will positively impact) (Select the answer that best reflects the question from the list below)* 1 – 100 100 – 199 200 – 299 299+ Please attach a signed letter of support with additional comments indicating your willingness and commitment to help the project. (A support letter might be from community leaders, e.g. headmaster, pastor, chief, politician etc., and should outline the need of the school and greater community, outlining the impact of what a renovated/updated school would mean to the community.)* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 256 MB. What is the population of the town or community?School Profile & Identifying needA description of what currently exists at the school location (Is there a school building available that meets your students’ needs – safety and security needs?)Please provide details*Will this be a new school build or a renovation? (Select the answer that best reflects the question from the list below)*RebuildRenovationDescribe what will be required to renovate or rebuild the school and to make it safe.*Provide a description of the impact of having a new/renovated school building for the children, their families and the community.*Year the school was established MM slash DD slash YYYY Community ImpactAre you able to provide communal labour?* Yes No Is there adequate road access to the school or construction site?* Yes No Please explain if the community is able to support or repair prior to the start of building?*Sustainability Commitment/Post-construction maintenanceIf your School or community is selected for the project, will the headmaster and community leaders willing to sign a commitment letter outlining support to maintain the building after the project is completed?* Yes No Please explain why?*Supplemental materials to accompany the applicationEstimated budget to rebuild the school (Fill out the budget form)* Drop files here or Select files Accepted file types: csv, xlsx, pdf, Max. file size: 256 MB. Photos of current school* Drop files here or Select files Accepted file types: jpg, png, Max. file size: 256 MB. Photos of the land* Drop files here or Select files Accepted file types: jpg, png, Max. file size: 256 MB. Deed of land to be donated to the Ministry of Education* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 256 MB. Naming rightsAfter the building construction is complete, can we include a tribute wall to recognize donors onsite?* Yes No Thank-you for your interest, at this time, your school does not meet our qualification criteria. For questions please contact us at info@schoolsofdreams.com. Please use subject line: School Selection CriteriaAfter the building construction is complete, can we recognize our founder through a plaque onsite?* Yes No Thank-you for your interest, at this time, your school does not meet our qualification criteria. For questions please contact us at info@schoolsofdreams.com. Please use subject line: School Selection CriteriaAfter the building construction is complete, can it be named after our founder, Dora Anie, before it is handed- off?* Yes No Thank-you for your interest, at this time, your school does not meet our qualification criteria. For questions please contact us at info@schoolsofdreams.com. Please use subject line: School Selection CriteriaApplicant’s Declaration* All information submitted, including copies of any documents I have submitted, are exact photocopies of unaltered, original documents. I understand that Schools of Dreams may require that I submit original documents at a later date. I understand that Schools of Dreams may require me to sign an oath reaffirming that I reviewed and understood all of the information contained in this form and submitted and that all of this information was true and accurate at the time of filling this form.Applicant’s Name* First Last PhoneThis field is for validation purposes and should be left unchanged.
