Please fill out the following information:
Full Legal Name of Potential Donor/Partner:
[Enter Full Legal Name Here]
Type of Donor:
- Company
- Foundation
- Individual
Donor Location / Nationality if Individual:
1 * Full Legal Name of Potential Donor/Partner:
2 Type of Donor: Company / Foundation / Individual / NGO
3 * Donor Location / Nationality if Individual (this determines the NatCom we contact):
4 Contact Person (Donor):
5 Email Address (Donor Contact):
6 Donor Website:
7 * Requesting Sector/Office/Institute (UNESCO):
8 * Contact (UNESCO): (e.g. the person who the NatCom should contact if they have questions) Name Email Name Email 9 * Type of engagement: (e.g. Financial Contribution / In Kind Contribution / Partnership Agreement / MOU / Additional Contribution / Technical Assistance, etc.)
10 Size of Potential Contribution:
11 * Purpose of Contribution (one sentence only): The purpose of this contribution/cooperation is to _______
12 * Is signature urgent? (e.g. natural disaster, post conflict, crisis situation) Yes or No
13 If urgent, please explain why?