JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chuka & Uchenna Legacy Initiatives
Contact us at
chuka.uchenna.memorial@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Are you interested in the Scholarship initiative? {We aim to sponsor a scholarship in Uchenna's name at Loyola Jesuit College (her alma mater) and a scholarship in Chuka's name at Bethany Christian Academy (his alma mater)}
*
Yes
Possibly
No
Are you interested in the Safer travel initiative? (We are seeking volunteers to work on problem solving effective actions to improve travel safety in Nigeria. Expect time commitment of ~2 hours/month)
*
Yes
Possibly
No
Please leave any comments and/or questions
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
