YOUR ORGANIZATION DETAILS
PLEASE MAKE SURE YOUR RESPONSE TO REQUIRED FIELDS ARE 100% ACCURATE
Your Organization's Name *
Please enter name as stated on your legal documents
Other Popular Name of the Organization
If applicable, enter name by which your organization is popularly known, but different from its legally registered name
Enter your organization legal Liberian registration number
If your organization is not legally registered in Liberia, enter 10-1000.
Organization US 501c3 Tax ID number (or any registered ID #) *
If your organization has not received its legal registration number in any country other than Liberia, enter 12-312017
Organization's website address?
Organization's Address *
Please enter full mailing address, each line separated by comma
Enter the City, District, County
State or Country *
Enter the country, if your corporate address is not in the USA
Describe your Organization and its work *
Please describe in less than 500 characters, in clear sentences, the social challenge you are addressing, the community you serve (who & where), how, and the difference you are making
CONTACT PERSON DETAILS
SOME TIME WE GET EMAIL IDS AND PHONE NUMBERS THAT ARE OUTDATED OR INCORRECT. PLEASE ENSURE THAT THE CONTACT PERSON INFORMATION IS ACCURATE AND THAT HE/SHE CHECKS EMAIL FREQUENTLY.
Contact Person's Name*
Contact Person's Email Address *
Contact Person's Phone Number (including area code)*
Make sure you include the area code and any extensions need to reach the contact person.
List the communities or locations where your organization provides services *
Please list the locations separated by commas.
Select the cause (s) that closely relates to your organization's work *
You may select multiple causes. Your choices might be used to connect you to relevant partners or resources.
Physically/ Mentally ChallengedChildren, Women & Family WelfareCivic and AdvocacyCulture and ArtsEconomic, Social and Community DevelopmentEducationElderly CareEmergency and ReliefEnvironmentHealthLivelihoods and TrainingSportsYouth WelfareOther
Select the groups that are served by your organization *
If applicable, you may select multiple groups.
AdolescentsAdultsBlood DonorsChildren / YouthsChronically IllSex WorkersDisaster AffectedDisplaced PersonsElderlyEbola VictimsFactory WorkersFarmers / Farm LaborersGirlsHealthcare WorkersHIV+HomelessJuvenileLegal WorkersLGBTMedical PractionersMentally ChallengedOrphansPatientsPhysically ChallengedPrisonersRefugeesRural PoorHuman Rights ActivistsSportspersonsStreet ChildrenWomenYouthNGOs
If selected to become one of our partners, what role could you possibly play?*
Facilitate planning and strategy meetingsHelp develop partnership strategiesHelp plan annual event in LiberiaSeek and coordinate volunteersHelp Increase corporate partnershipsCoordinating and creating awareness for all partnersDocument partners' activitiesHost partners' eventsHelp manage social pagesUpdate this websiteHelp write monthly newsletterCreate budget for joint partnership events
SOCIAL MEDIA FOR IMPACT
If you want us to share your organization's posts to help highlight your organization's challenges or promote your events and accomplishment, please enter the full URL of your social media accounts (e.g. http://www.facebook.com/XYZ)
Organization's Facebook Profile Link
Organization's Twitter Profile Link
Organization's LinkedIn Profile Link
Organization's Instagram Profile Link
How did you hear about #GivingTuesdayLiberia?*
From another partnerFrom direct emailFrom direct phone callFrom YesLibireaFrom GivingTuesday GlobalFrom FacebookFrom TwitterFrom GoogleFrom LinkedInOther
GivingTuesdayLiberia is all about charitable support; giving and participation should not be used for any commercial purposes or promotion of any for-profit product or service.
We agree to the terms of participation.