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Potential Partner Form
We'd like to know more about you, your organization to assess a partnership with MAMA HOPE
* Indicates required question
Email
*
Your email
Kindly share your full name
*
Your answer
Organization Name
*
Your answer
Is your organization locally-led?
*
Locally-led is defined as founded & run by members from the community & with buy-in from the community
Yes
No
Other:
Tell us about your organization, what work you do
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Your answer
What is your organization's area(s) of focus
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Your answer
What programs do you currently (or intend) to run
*
If you don't have programs yet type in N/A
Your answer
What are you interested to gain from a partnership with MAMA HOPE
*
Grants/Funding
Systems Strengthening Training
Peer Allyship
Other:
Share with us your website (or main social media) link
*
If you don't have one type N/A
Your answer
Share with us the contact person's email
*
Your answer
Send me a copy of my responses.
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