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Impact Partnership Form

Organization Information

Organization Name

Country and City of Operation

Website (if applicable)

Social Media Handles

Year Founded

Primary Contact Person

Full Name

Email Address

Phone Number

Role/Position in the Organization

Organization Overview

Mission Statement

Overview of Programs and Services

Main Communities or Groups Served

Area of Need or Partnership Request

What type of support are you seeking?

What type of support are you seeking?

Brief description of the need or project

How will this partnership impact the community?

Accountability & Stewardship

Do you have a system for tracking and reporting impact?

Are you able to provide receipts, reports or follow-up documentation?

Upload supporting documents (optional: budget, proposal, photos, etc.)

Values & Alignment

How does your work align with our mission to embody the love and compassion of Christ?

Additional Information

Anything else we should know about your organization?

Links to past projects, media or testimonials