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AidKit Essentials - Partner Program Intake Form

Please complete the following intake form to help us finalize the structure of your AidKit Essentials program. Your responses will be used to finalize our Scope of Work and set up your program instance.

Please enter your email address.

Who are your core stakeholders who are participating in decision making for this program? 

Who is your primary liaison responsible for being the conduit between your team and AidKit? 

Please Include Their Name, Role and Email Address

What are your three preferred area codes for the phone number associated with your program? 
Please list them 1), 2) and 3). 

What is the URL aka "domain" you would like for your program? Please note, this must be in the following format: [domain].aidkit.org We suggest limiting the character count of [domain] to the best of your ability!

What is the email address you would like for your program? Please note, this must be in the following format: [xxxxxxx]@[domain].aidkit.org default is support@[domain].aidkit.org)

Please upload the logo that you want displayed on all public facing materials for the program. 
This needs to be a png or jpg. 

Who will be responsible for your program's financial oversight and fund tracking?

If different than your main liaison, please provide their name, email address and phone number! 

What is your preferred invoicing cadence for program passthrough funds? (default is quarterly)

AidKit provides a monthly transaction report [insert sample]. 
Please confirm this report format meets your requirements.

AidKit provides a monthly transaction report [insert sample]. Please confirm this report format meets your requirements.
A
B

What needs are not met by the monthly transaction report? 
Please be as specific as possible! Someone from our team will reach out to confirm these requirements and update your pricing quote.