1. { binding displayValue, mode=oneTime }

Thank you for your interest in becoming a B1G1 (Buy1GIVE1) Worthy Cause.

Only by working together with great organisations, companies and individuals in synergy can we make a greater difference. We are grateful that you found out about us and are taking the next step to connect with what we are doing.

For the B1G1 community, it is important that we select the Worthy Causes that are more likely to benefit from being part of B1G1 without much extra effort or change on your part. So the questions you will be asked in this form will help us in the initial assessment. 

To review the program criteria again, please view this link.

INSTRUCTIONS

  • Please have these required documents ready for the application,

    - Charity Registration Certificate
    - Latest 2 years of Audited Account Reports
    - Latest Organisation Annual Report
  • For the Audited Account Reports, the submitted copies have to be signed copies with Independent Auditor's Report attached. Your application will be rejected if the document is not signed or if the Auditor's Report is not attached.
  • If your organisation is registered in more than 1 country, you are required to submit the registration certificate for all countries you are registered in. 
  • If any of the required documents are not in the English language, you are required to provide a complete and accurate translation of the documents in English. Your application may be rejected otherwise.
  • Once you start filling up this application, you have the option of saving the form and resuming later. The 'Save & Resume' link lasts for 4 days. Please note, however, that once the form has been completed and submitted, you will not be able to make any further changes. Should you need assistance, please get in touch with us at giving@b1g1.org.
{# pageNumbers}

Criteria Checklist

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Please specify your organisation's receipts from the last financial year in USD.

{ binding firstError.message }

Please specify your organisation's expenses from the last financial year in USD.

{ binding firstError.message }

If the figures are an estimate, we may require further information and explanation.

{ binding firstError.message }

Including any fundraising costs.

{ binding firstError.message }

This refers to ALL funds directly required to carry out the projects (eg. Education project cost includes: books, stationery, teachers' salaries; excludes: transportation costs, administrative costs).

{ binding firstError.message }
Can you supply audited accounts for the past 2 years to B1G1? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Can you provide future audited accounts within 10 months of the end of your financial year? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

If you have a financial document that is equivalent to the Audited Report, please attach the available report here. If your original report is not in English, do provide a complete and accurate english-translated version of the report along with the original audited report document. Accepted file format: PDF only.

{ binding firstError.message }
Do you have Annual Reports? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

If your original report is not in English, do provide a complete and accurate english-translated version of the report along with the original annual report document.

{ binding firstError.message }

If it is more convenient to provide a link to the PDF file of the report, please provide the link here.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

For more examples, view our Resource Center.

Do you work with any other organisations to carry out your projects? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
What resources and information can you provide to the business donors? (check all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

You did not meet a few key criteria in this checklist. Before proceeding with this application, we highly suggest you reach out to giving@b1g1.org to clarify your application status.

{ binding firstError.message }
{# pageNumbers}

Organization's Key Details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

If more than one country, separate by commas.

{ binding firstError.message }

If more than one country, separate by commas.

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }

If more than one country, separate by commas.

{ binding firstError.message }

Please input in format: http://www.domain.com

{ binding firstError.message }
{ binding firstError.message }

Contact Person Details

Contact Person Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Please include country code.

{ binding firstError.message }
{ binding firstError.message }
{# pageNumbers}

Your Team

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Name of Current Board Members

Board Member {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{# pageNumbers}

Projects To Be Listed

Please fill in the projects you would like to list on the B1G1 platform below. We recommend to submit a minimum of 3 but you are welcome to submit up to 10 projects.

For each project, we would like to ask you to add some details and you can find a detailed explanation including an example right here.

The project description should cover the problem you are aiming to solve and your unique and wonderful solution. 

Please note that the cost listed on the site must be approx. 10% higher than the actual cost of the project so that we can make sure you receive enough funds to deliver the promised activity after international bank transfer charges and possible currency conversion loss is covered.

We also aim to break down the projects in the smallest possible impact unit in order to support your work on a more sustainable basis. The B1G1 philosophy of giving encourages our Business members to embed giving in their everyday activities and give continuously instead of large once-off contributions. This means that you wouldn’t say a project “builds a well for $xx” but that they can contribute to give access to clean water for a day, for a week or for a year. That can be done by dividing the cost of the well by the number of people it serves and the number of years/days the well can function relatively well without maintenance.

Before listing your projects, we will be working together with you on clarifying and breaking down the projects to be listed on B1G1.

Projects

Project {binding ItemNumber}
{ binding firstError.message }

Maximum 50 characters.

Project Location {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Maximum 1000 characters.

{ binding firstError.message }
{ binding firstError.message }
Limitations of funding {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Please add whether you can utilise unlimited funding for this project or whether there is a limit, e.g. giving school books for children might be limited by the number of students.

{ binding firstError.message }

If you can only utilise limited funds, please share your annual funding requirement with us.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{# pageNumbers}

Declarations

Before signing this form, please carefully review the latest Worthy Cause Terms/Cooperation Agreement for B1G1 Giving, Inc. These terms govern the relationship between your organization and B1G1 Giving. After you have reviewed these materials, please indicate your agreement to the Declarations set forth below, and then complete the signature blocks that follow.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Your Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{# pageNumbers}
The email has been sent.

Your progress has been saved.

{ binding firstError.message }

Thank you for your interest in becoming a B1G1 (Buy1GIVE1) Worthy Cause.

Only by working together with great organisations, companies and individuals in synergy can we make a greater difference. We are grateful that you found out about us and are taking the next step to connect with what we are doing.

For the B1G1 community, it is important that we select the Worthy Causes that are more likely to benefit from being part of B1G1 without much extra effort or change on your part. So the questions you will be asked in this form will help us in the initial assessment. 

To review the program criteria again, please view this link.

INSTRUCTIONS

  • Please have these required documents ready for the application,

    - Charity Registration Certificate
    - Latest 2 years of Audited Account Reports
    - Latest Organisation Annual Report
  • For the Audited Account Reports, the submitted copies have to be signed copies with Independent Auditor's Report attached. Your application will be rejected if the document is not signed or if the Auditor's Report is not attached.
  • If your organisation is registered in more than 1 country, you are required to submit the registration certificate for all countries you are registered in. 
  • If any of the required documents are not in the English language, you are required to provide a complete and accurate translation of the documents in English. Your application may be rejected otherwise.
  • Once you start filling up this application, you have the option of saving the form and resuming later. The 'Save & Resume' link lasts for 4 days. Please note, however, that once the form has been completed and submitted, you will not be able to make any further changes. Should you need assistance, please get in touch with us at giving@b1g1.org.

Criteria Checklist

Does your local law limit your ability to receive donations from other countries? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Elaborate on the special procedures/licences. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you run your own programs? (or raise funds on behalf of other organizations) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please list the organizations you are working with. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Receipts (USD) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expenses (USD) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you know your organization’s administration and fundraising cost and %? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Administrative Cost % {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Program Costs (%) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Can you supply audited accounts for the past 2 years to B1G1? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Can you provide future audited accounts within 10 months of the end of your financial year? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Latest 2 years of Audited Account Reports {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Please provide the reason why you cannot supply audited accounts for the past 2 years. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you have Annual Reports? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Latest Annual Report {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Link to Latest Annual Report {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide the reason why you do not have annual reports. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you disclose your audited financial information to the public? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How many beneficiaries does your organization support on a regular basis? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please indicate the approximate number of beneficiaries your organization have served in the past year. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Over the past two years, has the number of beneficiaries changed? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Can you break down your programs into smaller impact units (e.g. Well building program broken down into 'Provide water for a day to 1 person')? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you work with any other organisations to carry out your projects? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please list the names of your partner organisations. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What resources and information can you provide to the business donors? (check all that apply) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please indicate any other questions or comments you have here. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

You did not meet a few key criteria in this checklist. Before proceeding with this application, we highly suggest you reach out to giving@b1g1.org to clarify your application status.

{ binding firstError.message }

Organization's Key Details

Organization Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Organization's Registered Legal Name (if different) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Year of Registration {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Organization's Religious Background (if any) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Countries of Registration {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Countries of Operation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Charity Registration Certificates {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Countries where you can offer tax benefits (optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Tax ID for countries you can provide tax benefits in {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Contact Person Details

Contact Person Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Contact Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Contact Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Your Team

# of Full-time Paid Staff {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Part-time Paid Staff {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Volunteers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
# of Board Members {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Name of Current Board Members

Board Member {binding ItemNumber}
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Role in Board {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Country of Residence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Projects To Be Listed

Please fill in the projects you would like to list on the B1G1 platform below. We recommend to submit a minimum of 3 but you are welcome to submit up to 10 projects.

For each project, we would like to ask you to add some details and you can find a detailed explanation including an example right here.

The project description should cover the problem you are aiming to solve and your unique and wonderful solution. 

Please note that the cost listed on the site must be approx. 10% higher than the actual cost of the project so that we can make sure you receive enough funds to deliver the promised activity after international bank transfer charges and possible currency conversion loss is covered.

We also aim to break down the projects in the smallest possible impact unit in order to support your work on a more sustainable basis. The B1G1 philosophy of giving encourages our Business members to embed giving in their everyday activities and give continuously instead of large once-off contributions. This means that you wouldn’t say a project “builds a well for $xx” but that they can contribute to give access to clean water for a day, for a week or for a year. That can be done by dividing the cost of the well by the number of people it serves and the number of years/days the well can function relatively well without maintenance.

Before listing your projects, we will be working together with you on clarifying and breaking down the projects to be listed on B1G1.

Projects

Project {binding ItemNumber}
Project Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Project Location {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
In what year did this project start? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Project Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cost of Project (in USD) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Please provide an explanation of how the project cost (above) was calculated. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Limitations of funding {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Annual funding limit (if applicable) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Project URL (Optional) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
We confirm that this is an ongoing project and is foreseen to be running for at least another 2 years. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this project run entirely by your organisation? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Partner Organisation Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Partner Organisation Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Declarations

Before signing this form, please carefully review the latest Worthy Cause Terms/Cooperation Agreement for B1G1 Giving, Inc. These terms govern the relationship between your organization and B1G1 Giving. After you have reviewed these materials, please indicate your agreement to the Declarations set forth below, and then complete the signature blocks that follow.

I confirm that I have read and agree to the B1G1 Giving Worthy Cause Terms/Cooperation Agreement. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I confirm that I will not do business with, nor facilitate any contributions to or from, any individual or entity included in the United States Treasury Department’s Specially Designated Nationals and Blocked Persons List (“US SDN List”), and that I will, upon receipt of any written request from B1G1 Giving, promptly re-confirm to B1G1 Giving in writing that my Worthy Cause remains in compliance with this statement. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I confirm that all of the information provided in this form is accurate and complete. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I confirm that the cost of each project as stated in this profile will cover the activities described for the project. I further confirm that I have added 10% to the project cost in each case, to cover possible currency fluctuations and my local bank’s charges. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I understand that, with each remittance, B1G1 Giving will provide an advice apportioning its contributions to specific projects. I confirm that funds will be allocated and expended according to the distribution shown on the remittance advice. If non-compliance is discovered, B1G1 Giving reserves the right to remove projects from the listing without prior notice, withhold further payments, and seek repayment of funds previously paid but misapplied. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Your Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Position/Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }