AVPN "Funding for Impact" Booklet Application Form
AVPN's “Funding for Impact” booklet will provide the opportunity for you to share information about your impact fund to over 1,000 delegates at the AVPN conference in June 2019. It aligns with the conference theme of 'Breaking Boundaries' by providing a way to connect multi-sector stakeholders with different funding vehicles that have a common interest. AVPN's ultimate goal is to help build a robust community of members whose capital can collaborate for greater impact in Asia.

The features of the booklet will be as follows:

· The booklet will be included in the welcome bag and distributed to over 1,000 attendees from around the world at the AVPN 2019 Conference. It will be also available on our conference website as well as the conference app.

· It will list the diverse funding opportunities from our members and partners who are working across the regions and sectors.

· The price of listing a fund from your organization in the booklet is USD$ 500 per page.

Sample
1. What is the name of organization? *
Your answer
2. What is the fund's registered name? *
Your answer
3. Please provide a brief description of the fund including the mission statement to be included in the box on the page (approx. 50 words) *
Your answer
4. What country is the fund registered in? *
Your answer
5. What year was the fund founded? *
Your answer
6. What is the total fund size in USD? *
Your answer
7. Please choose the fund's impact area(s): *
Required
8. Please indicate the fund's specific sector focus (eg. agriculture, maternal health, etc): *
Your answer
9. What markets does the fund operate in? *
Required
10. Please provide a brief description of the organization to be included in the 'About' section on the booklet page (approx. 50-100 words) *
Your answer
11. Please select the key funding approach(es): *
Required
12. Please list the fund's main investor(s) and implementer(s): *
Your answer
13. Please indicate any non-financial support offered by the fund as well as beneficiaries: *
Your answer
14. Main contact details: *
Your answer
15. Name of the main contact who will be attending the conference: *
Your answer
16. Designation of the main contact *
Your answer
17. Please provide a brief bio of the main contact to be included in the 'About' section on the booklet page (approx. 50-100 words) *
Your answer
18. Please send us 1)a profile picture of main contact who will be attending the conference and 2) a logo of your organisation to be included in booklet page. Please email us at partnerships@avpn.asia
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