Partner Application Form Please note that all partners must complete the application form prior to formal engagement. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Business Type--select--BusinessCharityNon-profit OrganisationNGOBusiness Name *Official Registered Legal NameOrganisation Name *Official Registered Legal NameCharity Name *Official Registered Legal NameNGO Name *Official Registered NameCompany Number *Organisation Number *Charity Number *NGO Number *Date Established *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Registration Certificate * Drag & Drop Files, Choose Files to Upload Website / URLHow many years have you been in business or operation? *--select--123456789101112131415161718192021+Registered Address *Address Line 1CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAddress should match the official registration documentsProof of address * Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Utility Bill or Bank statementAre you a member of any agents’ or other associations? *YesNoIf so, which? *How many offices do you operate from? *Including regional officesDo you work with other UK aid organisations? *YesNoIf so, which? List all of them *Organisation name, Contact name and Contact details Trustee Details Director Details Name *FirstLastEmail *Phone *Trustee ID * Drag & Drop Files, Choose Files to Upload Official ID: PassportDirector ID * Drag & Drop Files, Choose Files to Upload Official ID: Passport Bank Details Official bank details for the Organization, Charity, Business or NGO Name of Bank *Account Number *SWIFT / BIC (for international)Name on Account *Sort CodeIBAN About your work Where did you find out about Crisis Aid? *--select--GoogleSocial MediaFraindOrganisationOtherWhat type of aid do you provide? *--select--FoodWaterEductionEducation and LearningSheltersWhich countries do you work in? *--select--AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}ItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPalestinePakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweHow do you assess the needs of your beneficiaries? *Which other aid organisations do you work with locally? *How do you verify that partnering organisations are not affiliated with prescribed groups? *Can you offer Pictures/video evidence for Crisis Aid's delivered Aid? *YesNoCan you provide report upon completing any partnered project with Crisis Aid? *YesNoHow do you ensure your aid does not fall into the hands of terrorists? *Which Islamic organisation if any do you have affiliation to? * Expectations What are your expectations from Crisis Aid? *Agreement *By ticking this box you agree that all the information that you have provided is correct. Additional Identification Trading Name (if different)Country of Registration *--select--United KingdomAfghanistanAlbaniaAlgeriaAndorraAngolaArgentinaArmeniaAustraliaAustriaAzerbaijanBahrainBangladeshBelgiumBeninBhutanBosnia and HerzegovinaBrazilBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosDemocratic Republic of the CongoRepublic of the CongoCosta RicaCôte d'IvoireCroatiaCyprusCzech RepublicDenmarkDjiboutiDominican RepublicEcuadorEgyptEl SalvadorEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGuatemalaGuineaGuinea-BissauHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMauritaniaMauritiusMexicoMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaudi ArabiaSenegalSerbiaSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTunisiaTurkeyTurkmenistanUgandaUkraineUnited Arab EmiratesUnited StatesUruguayUzbekistanVenezuelaVietnamYemenZambiaZimbabweOtherIs your Operating Address different from your Registered Address? *YesNoOperating Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAddress where day-to-day operations take placePrimary Contact Position / Job Title *Are you a Registered Charity in your country of operation? (in UK, with the Charities Commission) *YesNoCharity Registration Number (in country of operation)If you've already entered your charity number above, you may leave this blank.Authorisation to solicit donations *I confirm that I am authorised to solicit donations in my country of operation Project Details Project / Programme Name *Description of Services / Activities *Location(s) of Delivery *List all towns/regions/countries where this project will be deliveredEstimated Contract Value (if known)Funding Type *--select--DonationGrantRestricted FundsOtherWill you have direct contact with beneficiaries? *YesNoIf yes, please describe the nature of this contact * Governance & Structure Type of Organisation (please select the closest match) *Registered CharityCompany (Ltd / CIC / etc.)NGOInformal / Community GroupOtherPlease specify your organisation type *How many directors / trustees / key officers do you wish to list? *--select--1234You can list up to 4. Most applicants list 1–3.Officer 1 — Name *Officer 1 — Role *Officer 2 — Name *Officer 2 — Role *Officer 3 — Name *Officer 3 — Role *Officer 4 — Name *Officer 4 — Role *Provide a brief description of your governance structure *Do any of your directors/staff have a relationship with Crisis Aid staff or trustees? *YesNoIf yes, please provide details *Authorised Signatory — Name *Authorised Signatory — Position * Track Record & Experience Please describe your experience delivering similar projects *Recent Project 1 — Name / Location / Date / Brief description *Recent Project 2 — Name / Location / Date / Brief description *Reference 1 — Name, Organisation, Contact details *Reference 2 — Name, Organisation, Contact details * Operational Capacity Number of staff *Number of active volunteers *Do you have staff/representatives in the project location? *YesNoDo you rely on local partners? *YesNoIf yes, please provide details of local partners *Briefly describe your capacity to deliver this project * Compliance & Screening Are you or any of your key personnel subject to sanctions or investigations? *YesNoPlease explain (sanctions/investigations) *Have you ever been involved in legal disputes, fraud, or regulatory action? *YesNoPlease explain (legal disputes/fraud/regulatory action) *Compliance Confirmations — please tick all that apply *I confirm we are not associated with any proscribed or terrorist organisationsI confirm we comply with applicable anti-bribery and anti-corruption lawsI confirm we have an anti-fraud and/or anti-bribery policy in placeI confirm no facilitation payments or informal payments will be made in connection with this projectI confirm no conflicts of interest exist in procurement or deliveryI agree to allow Crisis Aid to audit project-related financial records if required Data Protection & Privacy Are you registered with the UK Information Commissioner's Office (ICO)? (if applicable) *YesNoICO Registration Number *Do you comply with applicable data protection laws (e.g. GDPR)? *YesNoDo you have a data protection / privacy policy? *YesNoDo you have a data retention policy? *YesNoWill you process personal data on behalf of Crisis Aid? *YesNoDescribe the type of data processed (e.g. beneficiary data, images) *Are you willing to enter into a Data Sharing Agreement? *YesNo Additional Financial Information Bank Address *Does the bank account name exactly match the legal entity? *YesNoDo you accept cash payments? *YesNoIf yes, please explain the circumstances *Latest Financial Statements Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Please attach if availableProject Budget Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Budget for the proposed projectReferences from Previous Funders / Partners Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Safeguarding Complete this section if you work with children or vulnerable adults Do you work with children or vulnerable adults? *YesNoDo you have a safeguarding policy?YesNoSafeguarding Lead / Focal Point — NameSafeguarding Lead / Focal Point — Contact detailsPlease describe how you recruit and vet staff, supervise staff and volunteers, and handle safeguarding concernsDo you obtain consent for photography/media?YesNoDo you retain consent records?YesNoUpload Safeguarding Policy Drag & Drop Files, Choose Files to Upload Insurance & Legal Compliance Do you hold relevant insurance? *YesNoIf yes, please specify type(s) of insurance *Upload Insurance Certificate(s) Drag & Drop Files, Choose Files to Upload You can upload up to 3 files. Do you comply with local employment laws? *YesNoDo you comply with tax regulations? *YesNo Subcontracting Will any part of this work be subcontracted? *YesNoName of subcontractor(s) *Nature of work subcontracted *Do you confirm no subcontracting will occur without written approval from Crisis Aid? *YesNo Monitoring & Reporting What reporting can you provide for this project? (tick all that apply) *Written reportsFinancial reportsPhotos / videosBeneficiary dataHow frequently can you report during project delivery? *DailyWeeklyEnd of project onlyAre you able to provide real-time updates during key activities (e.g. Qurbani days)? *YesNoDo you agree to Crisis Aid monitoring requirements (including evidence provision)? *YesNo Supporting Documents Please attach the following supporting documents Governing Document (constitution / articles) Drag & Drop Files, Choose Files to Upload Bank Verification (letter / statement) Drag & Drop Files, Choose Files to Upload Declaration I confirm that: *The information provided is accurate and completeI will notify Crisis Aid of any material changesI agree to comply with Crisis Aid policies where applicablePrinted Name (signatory) *Position (signatory) *Date of Declaration *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Submit
