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Living Water Foundation Ministries Inc.

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LIVING WATER FOUNDATION MINISTRIES REHABILITATIONS HOME PROJECT INDIVIDUAL / FAMILY MEMBERS REGISTRATION FORM

Title:

First Name:

Middle Name:

Last Name:

Gender:

Date of Birth:

Place of Birth:

Marital Status:

Home address:

Office address:

City:

Zip Code: (5 digits)

State:

Country:

Home Phone:

Office Phone:

Email:

Title:

First Name of next of Kin:

Middle Name:

Last Name:

Gender:

Date of Birth:

Place of Birth:

Marital Status:

Home address:

Office address:

City:

Zip Code:

State:

Country:

Home Phone:

Office Phone:

Email:

Preferred Phone Contact Home Office

Preferred Address Contact Home Office

Date:

Signing Initial:

Full Details of Disabilities in chronological form (Name and Place of incident): If further treatment is Needed:

Please state clearly type of treatment:

Short Report of Medical Treatment Received if any, or Pathological reports: Attach to this form:

Full details of the Areas You are "Physically Challenged" And if treatment or Attn. is needed state clearly.:

Are you not able to care for your Daily Social Needs: Housing, Food, Medical Treatment, Education etc.:

Psychological/Social Needs Deprivation/ Orthopadie /Specialist Treatment received so far Reports::

Do you need our free Psychological Expert Counselling and treatment? YesNo

Do you need our free Medical Practitioners Counselling and treatment? YesNo

Would you like to Stay in our Proposed Home to be well cared for and insured? YesNo

Would you like to be cared for by our Social Workers either in our Home or Yours? YesNo

What kind of training do you need? Professional
Vocational
Basic Educational

Professional Projects undertaken and Periods: Would you like to be part of the Computer Institute Programme or propose Music School Programme? YesNo

Other Useful Information::

Date:

Signing Initial:

Comments: Enter comments here!

Please return completed application and databank form with 50,00 dollar Check or Money Order or Bank Draft of 5.000,00 Naira and other supporting documents to the General Secretary at below addresses.

Print Sign and Submit

LIVING WATER FOUNDATION MINISTRIES REHABILITATIONS HOME PROJECT INDIVIDUAL / FAMILY MEMBERS REGISTRATION FORM

Application for Membership

1. Personal Data:

Title: Rev, Dr, Mr, Mrs, Miss, ................................................................

Lastname: ...........................................................................................

First/middle name (in full): .....................................................................

Sex: Male.......... Female.............

Date of Birth: .......................................................................................

Place of Birth:.................................................................................. .....

Country:................................................................................................

Marital Status:........................................................................................

Address ( If Any ) or Next of Kin:

Name of Next of Kin: ....................................Date of Birth:.......................

Home: ........................................... Office: ......................................

Street: ..................................................................................................

Post Code: ............................................................................................

City: ....................................................................................................

Telephone No: ( If Any ) or Next of Kin:

Home: ................................... Office: .................................................

Mobile: ..............................................................................................

Fax: ....................................................................................................

Email: .................................................................................................

(very important)

Tick the box for preferred contact address and phone:

Home: ............................... Office: ....................
Home Address: ...................................................................................

Office Adress: ......................................................................................
Date: ................................ Signature: .................................................

2. Areas Of Disabilities:

Full Details of Disabilities in chronological form (Name and Place of incident): If further treatment is Needed.

Please state clearly type of treatment.

Short Report of Medical Treatment Received if any, or Pathological reports: Attach to this form.

Full details of the Areas You are "Physically Challenged" And if treatment or Attn. is needed state clearly.

Example: Not able to care for your Daily Social Needs: Housing, Food, Medical Treatment, Education etc.

Psychological/Social Needs Deprivation/ Orthopadie /Specialist Treatment received so far Reports:

Do you need our free Psychological Expert Counselling and treatment

yes: ..... no: .....

Do you need our free Medical Practitioners Counselling and treatment

yes: ..... no: .....

Would you like to Stay in our Proposed Home to be well cared for and insured

yes: ..... no: .....

Would you like to be cared for by our Social Workers either in our Home or Yours

yes: ..... no: .....

3. Old / Elderly Persons:

Physically Challenged Persons : Persons With Disabilities : HIV/AIDS:

please underline

Professional, Vocational, Basic Educational Training

(please underline one or both)

yes: ..... no: .....

Professional Projects undertaken and Periods: Would you like to be part of the Computer Institute Programme or propose Music School Programme

yes: ..... no: .....

Other Useful Information: ......................................................................

............................................................................................................

............................................................................................................

.............................................................................................................

.............................................................................................................

.............................................................................................................

Please use separate sheet if necessary

Date: ...................... Signature: ........................................................

PLease return completed application and databank form with 50,00 dollar Check or Money Order or Bank Draft of 5.000,00 Naira and other supporting documents to the General Secretary at below addresses.

LIVING WATER FOUNDATION MINISTRIES INC.
801C. East 26 Street
Norfolk, VA 23504 USA
+1(757) 481-8085 or +1(757) 217-7652

OR

LIVING WATER FOUNDATION INC.
African Chapter Headquarters
C/o Rev ( Barr ) Chris Nwadigo
137 Clifford Road Aba
3rd Floor
Abia State - Nigeria

Websites:
www.livingwaterfoundationministries.org
www.lwfm.us

Emails:
info@livingwaterfoundationministries.org
livingwaterfoundation@yahoo.co.uk

Dissability Services

ALEAF PROJECT
PROPOSAL FOR IMPROVED EDUCATIONAL CAREER FOR THE LESS-PRIVILEGED IN AFRICA & DEVELOPING NATIONS

African Literacy and Educational Assistance Fund (ALEAF) is a department of Living Water Foundation - a non-partisan, non-religious, non-profit and non-governmental organisation founded by a group of entrepreneurs, Social work Consultants and international businessmen with Head Office in Aachen, Germany.

The Purpose of this Educational Fund/ Proposal is to introduce more tested methods of teaching the handicapped/disabled persons like the dumb, the lame and the deaf including Widows and orphans who are denied their rights to education due to their financial disposition. We are concerned especially about the nomads in the African Continent who for the nature of their activities are prevented from educational training ,exposure and advancement . In line with our activities we have discovered strategies for their educational training including Creating and developing special teaching aids to nomadic teachers.

In view of the above , we have designed and established a scholarship scheme that cuts across the different levels of the less privileged in our society as enumerated above to achieve our set objectives.

COURSE OBJECTIVES:

(a) Review of educational syllabus for the handicapped

(b) Improve students standard in the less- privileged educational career/opportunity.

(d) Equip students for the challenges ahead.

(e) Review the teaching of nomadic education

(f ) Provide avenue for the students to trade ideas based on their respective courses.

COURSE CONTENT:

(a) Effective reading and writing for the blinds

(b) Effective reading and writing for the lame

(d) Trapping the resource persons for specialised education of the disable.

(e) Effective accounting system and Educational administrative control

(f ) Nomadic education for drop outs and preventions.

(g) Managing the dumb and deaf in training.

(h) Overseas training/vocational training for the widows and orphans.

To achieve these set goals we are soliciting for the assistance bodies to donate both in cash and in material to the Foundation to compliment our programmes.

The Scholarship scheme took off on 1st December, 2004 at the temporary site of African Literacy and Educational Assistance Fund Complex, Owerri, Imo state, Nigeria.

You are therefore, required to nominate or recommend 2 less privileged persons in your community or country. for the programme.

Thank you in advance for your assistance and cooperation. Please let us know when it will be convenient for you to receive members of our Boards of Trustees, Governors, or International Advisory Council, who are willing to pay you a courtesy visit for further discussion on the programme.

Re: PROPOSAL FOR EDUCATIONAL CAREER FOR THE LESS PRIVILEGED IN AFRICA AND DEVELOPING COUNTRIES

We are pleased to submit here for your kind consideration and approval of our proposal in respect of:

IMPROVED EDUCATIONAL CAREER FOR THE LESS-PRIVILEGED IN AFRICA AND DEVELOPING COUNTRIES

While we look forward to your favourable decision and formal nomination. We thank you for your interest in our humanitarian services.

Yours Faithfully,
For: African Literacy and Educational Assistance Fund (ALEAF)

MASS LITERACY SUPPORT FOR LESS PRIVILEGED WORLDWIDE (MLSFLPW) PROJECT
MLSFLPW stands for universal equity of educational opportunity to all without discrimination MLSFLPW shall assist the less privileged to develop their intellect, abilities in various fields of human endeavour through functional and qualitative education to be self-reliant and promoting their integration into normal life in the society.

The foundation will seek to abrogate all institutional, administrative and statutory impediments that discriminate against the less privileged, the deformed and the disadvantage in the enjoyment of their universal Rights to Education and Health. The beneficiaries shall include all those who are denied opportunity of basic education in such places like Africa, Asian countries, Caribbean, South American, North America and Europe etc.

INTRODUCTORY LETTER FOR OLD / ELDERLY PEOPLE'S REHABILITATIONS HOME

We most honourably and respectfully write you on the above subject in order to introduce to you some of our programmes especially with particular reference to the old people's Home (OEPRH) Project. The old/elder people's Rehabilitations Home (OEPRH) is a department of living water foundation (LWF) a registered private humanitarian non-partisan, non-profit and non-governmental organisation founded by a group of entrepreneurs, social work consultants and international business men with Head Office in Aachen, Germany.
The Board of Trustees of our (NGO) has resolved recently at a meeting to rehabilitate some helpless old/aged people in your Local government .
This is part of our programme for the less privileged people in the society. You are to nominate two old /aged persons in your kingdom who will benefit from this programme as well as from part of the take-off in mates of our Rehabilitation Home.
Such person(s) so nominated by you are expected to live in the rehabilitation home owned by the foundation. The foundation will take care of the feeding and upkeep of such nominees including their clothing, medical treatment and counselling free of charge.
You are therefore required to give this project an assistance, if you are willing to make
your subjects benefit from this philanthropic opportunity. In this regard ; you may wish to introduce us to some of your prominent Citizens, Organisations, Companies and Financial Institutions for both in material and monetary forms of Support.
Kindly let us know when you can meet with members of our Boards of trustees/Governors or International Advisory Council Member for further discussion on the project.
Also be informed that Living Water Foundation (LWF) is in addition covering other departments like African Literacy and Educational Assistance Fund (ALEAF); Mass Literacy Support for the less privileged Worldwide (MLSFLPW), and Damkay Consortium Computer Institutes(DCCI) To promote, protect and empower the less privileged in our society. You can take advantage of these programmes to develop your community. Your urgent consideration and action will be highly appreciated.
Yours Faithfully,
For: Old/Elderly People's Rehabilitation Home

DAMKAY CONSORTIUM COMPUTER INSTITUTE (DCCI)

This is designed to expose the people especially the less-privileged to new information communication technology especially making them computer literate and internet sensitive .This would enable them acquire knowledge that would improve their living standard and contribute to world economy .The wisdom in floating the institute is to enable people especially the less privileged and the disadvantage to move with the present computer and internet Age .The category of people to benefit from DCCI includes the blind, the dumb, lame, deaf etc and those who have no access to computer.