Legacy Fund Form Legacy Fund Form Please fill the form below to start your Legacy Fund!Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Legacy Fund Name(Required) Legacy Fund Amount:Initiating Amount(Required)Initiating Date(Required) MM slash DD slash YYYY Amount to be added annually (if any): Tell us a little bit about why you would like to start this legacy fund & what you hope to achieve with it!SCREENING CRITERIA(Required)Our applicant screening criteria is: (1) Scholastic merit (2) Islamic Knowledge (3) Community service (4) Need (5) Location. I agree and acknowledge APPLICANTS REVIEW(Required)ACC will review loan applicants on your behalf and select students based on the criteria listed above. I agree and acknowledge OPERATIONAL COSTS(Required)There are operational costs associated with maintaining a Legacy Fund, such as loan management, accounting, reporting, tax filing & administration. Your one time $300 opening fee support from the initiating of your legacy fund will help us in maintaining ACC’s work. Please confirm below if you would like to include these as part of your initial donation or a separate donation. Take $300(One time fee) of my initiating amount I will add on $300(One time fee) to my initiating amount to cover the operational costs STUDENT LOAN CONTRACT LENGTH(Required)Currently, all ACC contracts are a maximum of 4 years. This means that all loans must be repaid within four years of issuance. This length has given us tremendous financial success in getting students and graduates in and out of our system. Most refinancing recipients finish within 2 years while standard student loan recipients take the entire 4 years. Our goal in the future is to extend the term on our contracts if needed, inshaAllah. We do not allow families to alter this portion of the contract as it will affect the return of investment (ROI) on your fund. Thank you for understanding. I agree and acknowledge REPORTING(Required)ACC will produce biographical and financial reports to update you on the difference that your Legacy Fund is making on the multitudes of students and graduates. Reports will include total initial investment, short biographical data on the students ACC has chosen, their contract due date, total number loans given, total dollar amount given, total amount donated from your alumni, etc. Reports will be made available to you on an ANNUAL basis. I agree and acknowledge EXECUTION OF AGREEMENT - If you agree to the terms mentioned above, please initial below and date:(Required) Date(Required) MM slash DD slash YYYY