GAIN Initiative Submission Form
Initiative Title
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Initiative Organisation
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Initiative Lead/Contact Name
*
First Name
Last Name
Initiative Lead/Contact Email
*
example@example.com
Initiative Location
Address
Street Address
Street Address Line 2
City
State / 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?
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How will you record and inform us of your progress?
*
Declarations
Publicly Sharing Images and Stories about Children
*
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.
Project Management
*
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
*
Submit
Should be Empty: