SIGN-UP AND SHARE FORM

This call is open to organizations identifying as National Governments, Local and Regional Governments, Civil Society Organizations / Non-Governmental Organizations, Grassroot organizations, Academia/Universities/Research Institutions, Medias.

WELCOME TO THE COVID-19 CAMPAIGN TO TAKE ACTION IN SOLIDARITY TO THE MOST VULNERABLE IN CITIES AND COMMUNITIES.

INSPIRE OTHERS BY SHARING YOUR ORGANIZATION’S ACTIVITIES IN COVID-19 RESPONSE.

Email *

I JOIN THE COVID-19 CAMPAIGN:

My organization *

Agrees to take action in solidarity with the most vulnerable

Commits to build urban resilience during and after the pandemic

Required

1. NAME OF YOUR ORGANIZATION *

2. TYPE OF ORGANIZATION *

National Government

Local and Regional Government

Civil Society Organization / Non-Governmental Organizations

Grassroot organization

Academia/Universities/Research Institutions

Media

MY ORGANIZATION SHARE OUR ACTIONS TO INSPIRE OTHERS:

3. TITLE OF YOUR COVID-19 ACTION: *

4. AREA (S) OF ACTION: *

Shelter security

Homelessness

Social distancing practices

Handwashing

Water supply

Sanitation

Health care

Mobility, transport

Food supply

Support to migrants

Safety, domestic violence

Other:

5. WHAT? Description of the Action: *

6. WHOM?Target group and type of beneficiaries (may include persons with disabilities, women, children, youth, persons living in informal settlements, etc.):

7. WHERE? Name of settlement(s), city(ies) and country(ies) of response:

8. Link to the story/initiative (website or YouTube only):

9. Do you have a video related to the action? You may record a minute long message to express solidarity in this global initiative, and to state why your organization’s response plan is important. (share YouTube link only):

10. Do you have photos to illustrate the initiative? (share Flickr links only):

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