RISE Application Form with CHAI ACS

RISE Application Form

CHAI ACS provides structured institutional advisory services to organizations preparing to scale responsibly within competitive funding environments. Submission of this form initiates a partnership inquiry under the RISE framework. All inquiries are reviewed for alignment and readiness.
Organization Name
Primary Contact Person Full Name

First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.
Secondary Point of Contact Name

First NameLast Name
Secondary Point of Contact Email
example@example.com
Organization Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Activities of Your Nonprofit Organization
Charitable/FoundationEducationalEconomic DevelopmentMedical Aid or Mental HealthCultural Preservation (language, reading/writing, digitization, preservation)ArtsOtherYouthSenior/DisabledHumanitarian AidEmergency ResponseReligiousScientific/Research
Mission Statement
Year Established
YesNo
Project Focus
What is the estimated start and end date of this project?
What is the Geographical Area of the Project/Program? (City and State or Governorate - the more specific, is better.)
What is the duration of this project? (in months)
What is the total estimated project budget? (Please include admin and indirect expenses.)
Please summarize why your organization is best to lead this program/project. What assets or team do you have? Are there partners?
Are there any other organizations doing this? Is it successful?
Disclosure of Legal or Ethical Issues: Has your organization, or any current Board member, officer, or key staff person, ever been: 1.) Accused, investigated, or found responsible for fraud, financial misconduct, or misuse of funds; 2.) Accused, investigated, or found responsible for sexual misconduct, harassment, or abuse; or 3.) Subject to any criminal charges or civil findings related to dishonesty, exploitation, or violence?

NoYes
If yes, please provide a brief explanation below (including dates, nature of allegation, and current status).
Upload Your Organization's Latest Tax Filing for the Last Fiscal Year

Cancelof
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