Register For School Programme

NCDF Impact Club – School Engagement Programme

School Information

School Name

School Address

State/Region

School Type

Primary Secondary Both

School Contact Phone

School Email Address

School Administrator/Coordinator Details

Full Name of School Coordinator

Position/Title

Direct Contact Number

Email Address

Programme Participation Details

Number of Students Nominated to Participate

Age Range of Participants

Grade/Class Levels

Preferred Start Date

Consent & Commitment

Our school commits to fully participate in the NCDF Impact Club – School Engagement Programme. n.

We confirm that parents/guardians will be informed and consent obtained prior to student participation.

We agree to allocate a liaison officer who will work with NCDF Impact Club facilitators.

We understand this programme is provided free of charge but requires active participatio

Special Considerations (if any)

Please specify any special needs, considerations, or support the school may require:

Declaration

I hereby certify that the information provided is accurate and that our institution is committed to participating actively in the programme.

Name of School Head/Principal

Signature

Date