As Project Partner

Partnership Application Form

Organization Full Address

Telephone Numbers

Website Address (If Applicable)

Full Name of Founder *

First

Last

Founder's Telephone Numbers

Founder's Email *

Flunder's Full Address

Name of Contact Person *

First

Last

Phone Numbers

Email *

Address

Brief history (Date of establishment, progress and achievement)

Geographical areas of operation (Name, brief history, culture, and population)

What are the challenges facing your community?

Which of the challenges facing your community you will like to address and why?

Legally registered with Government of Liberia?

Reference persons (Town chief, youth and women groups, religious organizations)

Experience in working with rural community leaders.

State the importance of partnership.

Your Recommendation