Support Afrda Support resilient communities Donation Interest Form Thank you for considering a contribution to African Resilience & Development Agency. Tell us how you would like to support our work, and an authorised AFRDA representative will contact you with the appropriate next steps. Fields marked * are required. This form does not process payments. Please do not enter credit-card numbers, mobile-money PINs, bank-account credentials, passwords or other financial security information. AFRDA will provide approved payment or delivery instructions only after reviewing your submission. 1 About the donor Tell us who is offering the contribution and how we can reach you. Donor type * Individual donorCompany or businessFoundation or donor agencyNon-governmental organisationCommunity group or associationSchool, university or research institutionGovernment or public institutionFaith-based organisationOther Full name or contact person * Organisation or company Email address * Telephone or WhatsApp number Country * District, city or area 2 Proposed contribution Give us an initial indication of the support you would like to offer. Type of contribution * Select the contribution typeFinancial donationMonthly or recurring financial supportCorporate sponsorshipGrant or foundation supportGoods, equipment or materialsProfessional or technical servicesTraining or capacity-building supportFundraising campaign or eventResearch or institutional supportLand, venue or facility supportOther in-kind contributionNot sure; I would like guidance Proposed frequency Select if applicableOne-time contributionMonthlyQuarterlyTwice a yearAnnuallyMulti-year commitmentTo be discussed Preferred payment method Select if applicableBank transferMobile moneyOnline card-payment linkChequeCorporate or institutional paymentFundraising-platform transferI would like AFRDA to advise meNot applicable Currency Select currencyUgandan Shilling – UGXUnited States Dollar – USDEuro – EURBritish Pound – GBPCanadian Dollar – CADOther currencyNot applicable Proposed financial amount Leave blank if the contribution is non-financial or the amount is still to be discussed. Protect your financial information. Payment instructions will only be provided through an authorised AFRDA communication channel. AFRDA will never ask for your PIN, online-banking password, email password or one-time security code. 3 Area you would like to support Select one or more programmes or priorities. Preferred support area * You may choose more than one option. Select unrestricted support if you would like AFRDA to direct the contribution to the greatest current need. Unrestricted support where the need is greatestCommunity DiagnosticsCommunity Capacity BuildingDemonstration and LearningRestoration and ResilienceLivelihood DevelopmentPartnerships and PlanningEnvironmental SustainabilityClimate AdaptationCommunity DevelopmentYouth engagement and empowermentWomen's participation and inclusionSchools and community learningAdvocacy and community engagementOrganisational development and operationsOther Purpose, restrictions or special instructions 4 In-kind contribution details Complete this section only if you are offering goods, equipment, facilities, services or expertise. You may skip this section if your proposed contribution is entirely financial. Description of goods, materials, services or expertise Estimated contribution value Use the currency selected in Section 2, where applicable. Condition of donated items Select if applicableNewUnusedUsed – excellent conditionUsed – good conditionUsed – requires inspectionNot applicableTo be discussed When would the contribution be available? Current location of the contribution Delivery, collection or implementation details 5 Communication and acknowledgement Tell us how you would like AFRDA to follow up and recognise the contribution. Recognition preference * AFRDA may publicly acknowledge my name or organisationI prefer the donation to remain anonymousPlease discuss recognition with me before publication Receipt or acknowledgement preference * Select oneDonation receiptAcknowledgement letterBothNeitherTo be discussed Preferred contact method * Select oneEmailTelephone callWhatsAppVideo meetingIn-person meetingEither email or telephone Preferred contact time or instructions Additional message, questions or motivation Supporting document You may upload a pledge letter, item list, sponsorship proposal or other supporting document. Accepted formats: PDF, DOC, DOCX, XLS, XLSX, JPG and PNG. Maximum size: 10 MB. Optional programme updates I would like to receive occasional AFRDA programme and impact updates I confirm that the information provided is accurate to the best of my knowledge. I understand that this form records an expression of donation interest and does not require AFRDA to accept the proposed contribution. AFRDA may conduct appropriate due diligence and will contact me before any financial transfer, delivery or public acknowledgement takes place. AFRDA will review your submission and contact you using the information provided. Our Partners & Stakeholders
