Digital Vaccine Project - School Health Partner Application
Email address *
Name of the School: *
Mailing Address:
Phone Number(s)
If you are adding multiple numbers, please add them separated by comma (,)
Private/Public/Government aided:
Clear selection
Name of the Head of School/Principal:
Head of School/Principal's Email:
Name and Phone number of the Person our team can connect with (if other than the Head of School/Principal)
Total Student Strength:
If more than 1 campus, please specify number of campuses and student strength for each campus:
Fee Currency
Clear selection
Average Annual Fees - Kindergarten through Grade/Class 5
Average Annual Fees - Grade/Class 6 through 8
Average Annual Fees - Grade/Class 9 through 12
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