APPLICATION FORM FOR LEGAL ENTITIES 2023

Nominations

Name of the organization

Registration form (NGO, NCO, Fund, not registered, etc)

The country of registration / HQ

Branch offices/ representation offices in other cities/countries

Region of the world

Scale and reach of the organization

Registered address of HQ

Date of registration/ establishment

Short description of the organization’s activity, information on main projects of the last 5 years

Number of employees

Description of the structure and the decision-making processes inside the organisation, including the structural elements of the organisation

Head of the organization

Type and name of the founding organisations

Taxpayer Identification Number

State registration number

Industrial Enterprises Classifier

Key partners

Other organizations, affiliated with your organization. Attach a list.

Main source of financing

Web-site

Instagram

Facebook

Name of the project

Describe the activity of your organization, targeted at social changes through volunteering

Why did you choose this particular nomination?

What is the goal of the project?

Describe the objectives of the event/project

Describe the relevance of the organization’s contribution to social changes through volunteering, add references to official statistics

The geographical spread (which cities were covered by the event)

Describe the target groups of the activity (including the quantitative data, specifics, actual needs)

Describe the organization’s contribution to the implementation of the event.

Share the links to news publications and public reports that confirm the results and relevance of the activity

Describe the results of the project

Number of volunteers engaged

Describe the way you attracted the volunteers

Describe the organization’s role within implementation of the event. (manager / sponsor / partner etc.)? Why does your organization deserve to be nominated?

Describe the motivation of your organization for dealing with this type of issues

What skills, knowledge and social practices were used while preparing for the event and organizing it?

The issue of innovation. What is the difference between your project and the others?

Additional resources, attracted. (partners, financing, contribution of local communities etc.)

Sustainability of the project, prospects of development

Share the links to photo and video materials, official documents confirming the results (reports, presentations, etc.)

Share the links to оther files/documents confirming the results of the project (diplomas, recommendation letters etc.)

Other files/documents confirming the results of the project (diplomas, recommendation letters etc.)

Additional information

Name your Partner organization that endorses your application

Scan of the official recommendation letter from your Partner organization (stamp and signature are required)

Citizenship

Region of the world

First name (as written in your passport)

Surname (as written in your passport)

Gender

Date of birth

Place of birth (as written in your passport)

Passport number

Passport issue date

Passport expiration date

Home address (country, city, street, the number of the building, postcode)

Passport/ visa type photo

Job position in the organization

Name of the organization where you work/ study

Phone number (with the ability to connect Whatsapp)

Additional phone number for communication

Email

Instagram

Facebook

A document confirming the right of the specified person to act on behalf of the organization (letter from the head)

I confirm that I am ready to receive a cash prize to my personal accounton behalf of the organization, if necessary