ICO Initiative Development Intake Form
The purpose of this short form is to provide ICO with information to help identify a potential collaborative relationship either within an existing ICO Community or a potential new Initiative. This is the first step of the development of an ICO Community Initiative Proposal.

Once submitted, initiatives are "approved in principle" only if they satisfy the ICO Mission and Mandate which come from our Constitution.

ICO Mission and Mandate
i) to relieve poverty by:
- researching, modifying or developing innovative methods to provide the poor with the necessities of life and disseminating the results of such research to the public.
- using innovative methods to provide the poor with the necessities of life.

ii) to advance education by:
- researching, modifying or developing innovative methods to enable children and adults to learn and disseminating the results of such research to the public.
- providing scholarships, tuition, supplies and other necessities that enable these students to attend school.

iii) to carry on ancillary and incidental activities that further these charitable purposes.

Once we have received your initiative idea, we will then work with you to develop the "operational plan" - in other words - how do we make it happen. In the event that the idea does not meet our Approval Criteria, we will work with you to see if there are other workable ideas.

Should you require clarification or assistance, please contact

Jennifer Wade
Leader for Operation

Thank You.

Full Name (First and Last) *
Your answer
Email Address *
Your answer
Where do you live? *
Your answer
Name and location of the Community you wish to support *
Your answer
Initiative Overview and Description
1. Provide a high-level community description including location, people, culture and characteristics of the community. *
Your answer
2. What are the key issues the community is facing and that your proposal is designed to address? *
3. Please provide some background and detail of the key issue the community is facing. *
Your answer
4. What is your proposal and how will it address this key issue? *
Your answer
5. Approximately how long do you expect this proposal will take to complete? *
Please provide your best educated guess for on-the-ground work. This does not include set up or preparation time.
6. List issues that could prevent this proposal's success. For each issue, propose a way to reduce the likelihood or severity. *
Please use your best understanding of the community and the problems they are facing. We understand you might have difficulty describing all possible issues or problems; try focusing on the community's culture, governance (i.e. how decisions are made and by whom), location including nearby ecosystems, local qualified workers, how to get people involved etc
Your answer
Initiative Support and Involvement
7. What is your relationship with this community? How long have you known this community? *
Your answer
8. Who were consulted and actively engaged in the development of this proposal? *
Please provide any names, titles, and contact information (if available). Some examples include local community members (women and men, leaders, government officials etc.
Your answer
9. What will your role be during the project/initiative? What are your experiences and skills related to this role? *
Your answer
10. Will anyone else be involved in helping this initiative succeed? *
Please include whether they are connected to the community and in what capacity.
Your answer
11. Are there any other charities or developmental organizations (ie. NGO) providing similar support and services to this community or neighbouring communities? *
If yes, what organization and what activities are they undertaking? If unsure, please say "Unsure".
Your answer
Initiative Impact and Outcomes
12. Who will benefit from this initiative? *
Be specific on numbers and members of the community: Men, women, elderly, youth, a particular segment etc.
Your answer
13. How will your proposal benefit them? What community-specific successes would donors expect to hear once implemented? *
Provide qualitative (descriptive) and quantitative (number) details. Some examples include: Number of wells/schools/health centres/irrigation systems (etc) ♦ Number of products sold (2 tons tomatoes, 5 bushes corn etc) ♦ Amount of income earned ♦ Skills and ability developed ♦ Number of children educated ♦ Number of books purchased or donated ♦ Number of school fees paid ♦ Number of community women & men employed ♦ Number of businesses started ♦ Improved relations with neighbouring villages or local government
Your answer
14. What will be done to ensure long term sustainability of the project? *
Sustainability ensures that the limited resources of a community will be available for future generations and can recover from stresses that a community might encounter.
Your answer
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