Social Franchise – Youth for Technology Foundation

We are glad you are interested in becoming a YTF social franchise and developing a community technology and learning center in your local community. Please complete this application of interest.

Questions with an asterix * are mandatory

Basic Contact Information

Your Name *

Job Title *

Organization *

Address *

City, State/Province *

Country *

Post Code

Your Email *

Phone (include country code) *

About the organization

Type of organization *

Faith-based organization *

Countries Serviced *

Location of headquarters *

What is your organization's mission? *

Are you registered as a charity/NGO in your country? * (You will be asked to provide paperwork to substantiate your designation at a later time)

Years in operation *

Number of people directly served by organization in last fiscal year *

Operating budget for last fiscal year in USD equivalent *

Name of Executive Director/President *

Phone *

Email *

Website URL *

Were you referred to YTF? *

If referred, then by whom?

About the community

Target country for the CTLC *

Target community *

Community designation *

Estimated population for community * (leave out commas)

Target age/gender for program * (You can make multiple selection)

Estimated square meters available for the CTLC * (participating partners must provide a minimum of 35 square meters of secured instructional space)

How does the organization you represent have access to this space? *

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Number of paid staff to support project *

Number of volunteers to support project *

Estimated budget/match funds available for co-investment in a CTLC? * (Leave out commas)

Attachments

If you would like to attach additional background that describes your organization such as a fact sheet or annual report, please attach here (.pdf, .doc, .docx files accepted only)

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