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Big Box Application Form
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* Indicates required question
Email
*
Your email
Full name
*
Your answer
The next few questions are about the organisation you are representing
Name of organisation
*
Your answer
Link to organisation's website and/or social channels
*
Your answer
What type of organisation are you?
*
Large not-for-profit/charity (more than 50 full-time employees)
Medium not-for-profit/charity (10-50 employees)
Small not-for-profit/charity (less than 10 full-time employees)
Fully volunteer group
Other:
The next questions are about the project where Big Box will be used
Please provide a short description of your project
Your answer
Where is your project located?
*
Your answer
What are your project's areas of focus
*
(please select ALL that apply)
Education (theoretical or practical education for any age)
Health
Emergency response (for people affected or displaced by disaster)
Creative arts
Information/legal advice
Environment/resource management
Livelihood/entrepreneurship
Other:
Required
Who are the people your project helps
*
(pease select ALL that apply)
Displaced people (refugees or internally displaced)
Economically disadvantaged people
People in remote or rural areas
Women
Children
Elderly people
Disabled people
People affected by trauma or mental health issues
Other:
Required
Who will be using Big Box?
*
Your own staff and volunteers
The staff and volunteers of other organisations
The people your project is helping
Other:
Required
On an average day how many people to you expect to use the Wi-Fi
*
Fewer than 10
10-50
50-100
100+
Please describe the difference that internet access delivered through Big Box will make to your project
Your answer
*
Please confirm that end users will NOT be charged for internet access
Please confirm you are a not-for-profit organisation
Required
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