WIAL Global Recovery Program 2020 for Beneficiary

Proposed Beneficiary Organization *

Beneficiary organization country of operation (main country if global) *

Beneficiary organization contact person name *

First

Last

Beneficiary organization contact person email *

Type of organization (select all that apply) *

Organizational focus (select all that apply) *

Other: *

For multiple focuses, separate items with a comma

Reach of organization *

Size of organization *

Is the organization familiar with WIAL Action Learning? *

not familiar at all
some basic understanding
very familiar

Does the organization have any active contact with WIAL coaches? *

no contact yet
we have contacts with WIAL coaches but have not yet started a project
we have already started a project with WIAL coaches

Full name of the coach *

Country *

Action Learning sessions with our team(s) should be conducted in … *

(specify the language required)

What kind of initiative or program could potentially benefit from using WIAL’s Action Learning process? *

Thank you for your interest in the WIAL Gives Back – Supporting Global Recovery program. We will review all applications to determine suitability, and do our utmost best to match the applications with the volunteer WIAL Action Learning coaches. We will contact you on the next steps.

Personal Data *

Personal Data *

You acknowledge and agree that we may use your personal information consistent with our privacy policy and that we may share your information with the international WIAL organization and other WIAL Affiliates. Once you are certified as a coach or partner, you authorize us to post your contact information, and the photo, company name, title, website address, curriculum vitae or brochure, affiliation, credentials, bio and other similar information that you provide to us on WIAL directories and in other WIAL materials or communications, listing you as a coach or partner, as applicable.