Name of Philanthropy/Project
One Sentence Description of the Philanthropy, noting its goals
Which SDGs are in focus?
No Poverty
Zero Hunger
Good Health and Well-being
Quality Education
Gender Equality
Clean Water and Sanitation
Affordable and Clean Energy
Decent Work and Economic Growth
Industry, Innovation and Infrastructure
Reduced Inequality
Sustainable Cities and Communities
Responsible Consumption and Production
Climate Action
Life Below Water
Life on Land
Peace and Justice Strong Institutions
Partnerships to achieve the Goal
Other
Primary industry if applicable
All Industries
Ag / F&B
Cannabis
Consumer (ex F&B)
Financials
Healthcare
Ind./Energy
RE
TMT
Other
Size of Philanthropy
$1-5M
$5-10M
$10-25M
$25-50M
$50-100M
$100-200M
$200-500M
Over $500M
Over $1B
#hashtags (searchable on our App, e.g. #ukraine #humantrafficking #medical #fostercare #bigbrothersbigsisters etc.)
Geographic Focus (Check All that Apply)
N. America
S. America
Europe
ME
Asia
Oceania
Africa
Ukraine
Talent & Skill Needs (which our 361 Community might provide)
Grant Advisor
Fundraising consultant
Other CXOs
part-time CIO
part-time CFO
part-time COO
other CXOs
country advisor
regional advisor
industry advisor
legal advisor
tax advisor
recruiter
impact advisor
corporate finance
presentations
brand strategy
Board Advisor
Board Director
Other Talent Needs (Specify)
Your Role
Name
First Name
Last Name
Email
As for Ukraine, we ask additional questions so that you could specify potential kinds of Aid (Grants, People Support and/or Supplies) and connect with relevant Donors and those requesting specific kinds of aid.
Urgent Items
4.1 Satellite Phones
4.2 Internet Connectivity Meshes
4.3 Electronic SIM Cards (eSIM) for Europe
4.4 Transport Fuel
4.5 Transport Planes & Trucks
4.6 Warehousing
1. Humanitarian Aid
1.1 Food
1.2 Power supply
1.3 Shelter
1.4 Shower container
1.5 Sleeping bags, mats
1.6 Diapers
1.7 Baby food
2. Medical Supplies for Refugee Centers
2.1 Cardiovascular
2.2 Respiratory
2.3 Antibiotics
2.4 Insulin
2.5 Benzo diazepam (anti-anxiety)
2.6 Stronger Painkillers
2.7 Antiseptics
3. Medical Supplies in Ukraine
3.1 Antiseptics
3.2 First Aid Kits IFAK with Celox
3.3 CitizenAID Public Trauma Kits (tourniquets, pressure dressings, wound packing gauze, emergency blankets)
3.4 CitizenAID online Public Trauma Training
3.5 Hemostatic powder
3.6 Hemostatic bandages
3.7 Stronger painkillers
3.8 Benzo diazepam (anti-anxiety)
4. Connectivity & Logistics
4.1 Satellite phones
4.2 Internet connectivity meshes
4.3 Esim for Europe
4.4 Transport Fuel
4.5 Transport Planes & Trucks
4.6 Warehousing
5. Clothing
5.1 Bersi shoes
5.2 Backpacks
5.3 Thermal Underwear
5.4 Pants (46-58)
5.5 Military coats
6. Protective Gear
6.1 Vests
6.2 Helmets
6.3 Gloves
6.4 Night goggles
6.5 Thermal cameras
7. Media Campaigns
7.1 Direct messaging campaigns
7.2 Anti-fake news infrastructure
7.3 Capital for media campaigns
8. Software
8.1 Refugee tracking software
8.2 Access to Software Developers
9. Cyber Security
9.1 Penetration testing
9.2 Access to Other Cybersecurity resources
10. Economical
10.1 Remote jobs
11. Check below any and all the types of People Support you request (which our 361 Community might provide)
Prefer not to focus on people in this request
Medical Staff - on ground
Medical Staff - telemedicine
Delivery / Couriers
Lawyers
Other - add below in Question 12
12. For 1-11 above, be more specific as to (a) quantities, location, etc. for 1-10 and (b) types of People Support in terms of professions or skills
13. List any organizations or charities which your aid request would support if not given directly or via partners
14. Please provide more context in describing the problem your request is addressing and why you believe it will be an effective use of the resources requested
15. To help us vet your request, please list any past contributors
If you prefer not to name specifically, describe profiles of donors to date. If none, explain circumstances.