Initiative Form

Initiative Title*

Initiative Organisation*

Initiative Lead/Contact Name*

First NameLast Name

Initiative Lead/Contact Email*

example@example.com

Initiative Location

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Initiative Goal(s). What is the aim of your initiative?*

Initiative Description. Briefly describe what you will do.*

Initiative Duration. How long will it take to complete?*

How many children will likely be impacted?*

Who will be involved?*

How will you promote your Initiative?*

How will you record and inform us of your progress?*

I understand that photos or other documentation I share with GAIN and/or the World Forum Foundation may publicy be shared by GAIN and/or the World Forum Foundation in print or on the web.I have permission from the subjects or their parents/guardians to share their likenesses and/or stories publicy.I have done my best to ensure publicly sharing these images will in no way harm the subjects privacy, integrity or safety.

I confirm that the project will be carried out with integrity, is non-partisan and will adhere to the values of both GAIN and the World Forum Foundation.I understand that use of GAIN badge is allowed for the duration and purpose of this initiative only and that submissions will be shared (unless otherwise agreed) with the GAIN community.I understand that records of my submitted initiative will be held on file and that data will be used for recording and reporting purposes.

Signature*

GAIN Initiative Submission Form

Declarations