Leader Collective: Membership Registration

First Name(Required)

Last Name(Required)

Designation(Required)

Email Address(Required)

Organization Name(Required)

Full name then acronym ex: Hope For the Future (HFF)

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Legally registered as:(Required)

Community based organization

Non-government

International organization (multiple country registration)

Faith based institution

Charitable trust

Non-profit organization (other)

Social enterprise or company limited by guarantee

Not a registered entity

Other (specify)

www.bloodwater.org

Organization social media handles

Please list all social media handles here

Geographic scope of missional work(Required)

Single country focus.

East Africa region

Third Choice

Southern Africa region

West African region

Central African region

Other - specify

Your organization identifies as a:(Required)

Collaborative practitioner: We are an African-led and Community-driven organization that exists to advance community development on the continent across sectors.

Collaborative partner: We are a philanthropic or funding organization that is committed to positioning resources directly to African-led and community-owned development on the African continent. This is demonstrated by alignment with the Shifting the Power principles outlined by Catalyst 2030:

Give multi-year, flexible or unrestricted funding
Invest in partner strengthening
Fund networks
Create transformative rather than transactional relationships
Build and share power
Be transparent and responsive
Simplify and streamline paperwork
Offer support beyond the check
Collaborate with other funders
Embrace a systems mindset in your grantmaking

Organization mission statement(Required)

Please share with us why you exist and what you are endeavoring to see happen? (100 word limit)

How do you identify your organization's core missional work and its alignment with advancing community focused health and development goals

Health

Agriculture

Education

Economic livelihoods

Climate

Social protection

Advocacy

Technology

other

What is your organization’s current operating budget

> 50,000

50,001 to 100,000 USD

100,000 to 500,000

500,001 to 1,000,000

< 1,000,000

What are your primary motivations for joining the Leader Collective? Please consider both where you will contribute to the community most as an organization as well as what you desire to receive from the community.

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