Organization Information

Organization Name: *

Organization Website: *

Year Organization was founded: *

In what country/countries does the Organization provide services/programs/products? * 🛈

Organization Headquarter Country * 🛈

Is the organization a legally registered non-profit, charity, NGO organization? *

Which of the following best describes the organization's service category? *

Is the organization currently impacting children/youth beneficiaries through program/services? *

What percentage of the entire organization's beneficiaries are children/youth? * 🛈

Does the organization have at least 2 paid, full-time team members (including the Applicant)? *

Applicant Information

Applicant First/Given Name: * 🛈

Applicant Last Name/Surname: *

Applicant's Title with the Organization: *

Applicant's Email: *

(Optional) Applicant Linkedin:

Is the Applicant the Organization's Founder/Co-Founder, Executive Director, CEO, or similar role? * 🛈

Does the Applicant work full-time with the Organization? *

Is the applicant and organization ready and interested to scale impact with beneficiaries? *

Final Questions

Application Submitter's First/Given Name: * 🛈

Application Submitter's Last Name/Surname: *

Application Submitter's Email: *

How did you learn about the Gratitude Network Fellowship? *

If you selected 'Other' for how you learned about the Gratitude Network Fellowship, then please share who referred you?

[Optional] What gender does the Applicant identify as?

Female

Male

Non-Binary

Other Other

[Optional] What race does the Applicant identify as? (Select all that apply)

Please submit this application by March 5, 2023.

Privacy Disclaimer/Communications Opt-In: By submitting this application to the Gratitude Network, you consent that data from this application may be shared with individuals or organizations that assist Gratitude Network in reviewing applications. Your data will NOT be shared or used by our application reviewers for purposes other than evaluating this application. Anonymized data from this application may be shared for research or outreach purposes. Furthermore, by submitting this application to the Gratitude Network, you agree to receive further communications from the Gratitude Network.

African	African-American
Black	Asian
Caribbean	Indigenous American
Latinx	Middle Eastern
Pacific Islander	South Asian
White	Other Other