Change in Action NPO Fair Application

I have read and agree to the T&C's

Filling in this form does don't automatically grant me a position at the Expo, but should this organisation be selected, we have the manpower to be present at Gateway Theatre of Shopping, 09:00- 21:00, 24 - 26 March 2023.

Yes
No
Maybe

Organisation Name:

Organisation registration number:

The organisation is affiliated with:

Hollywood Foundation
We Are Durban
Neither (this will not jeopardise your organisation in any way)

Upload the relevant certificates:

Click or drag files to this area to upload. You can upload up to 10 files.

Date of earliest registration:

Organisation address:

Contact person:

Contact number:

Contact email address:

Upload your logo

Click or drag a file to this area to upload.

Website address:

Primary field of influence (select one)

Family (Parenting, child protection, youth work, elderly, family reunification, etc.)
Health (Hospice, people with disabilites, substance use, home-based care, disease specific work, etc.)
Food security (feeding schemes, vegetable gardens, food parcels, food security, etc.)
Reconciliation (prison ministry, coaching, discipleship, etc.)
Economic skills (Skills development, entrepreneur development, small business, job creation, etc.)
Education (ECD, STEM, Life skills, Afterschool programmes, extra lessons, etc.)
Organisation Development
Animals (shelters, vet services, foster care facilities, rehoming etc.)
Environment (cleaning up, recycling, education, etc.)

Secondary field(s) of influence (if applicable)(select all that apply)

Family (Parenting, child protection, youth work, elderly, family reunification, etc.)ce
Health (Hospice, people with disabilites, substance use, home-based care, disease specific work, etc.)
Food security (feeding schemes, vegetable gardens, food parcels, food security, etc.)
Reconciliation (prison ministry, coaching, discipleship, etc.)
Economic skills (Skills development, entrepreneur development, small business, job creation, etc.)
Education (ECD, STEM, Life skills, Afterschool programmes, extra lessons, etc.)
Organisation Development
Animals (shelters, vet services, foster care facilities, rehoming etc.)
Environment (cleaning up, recycling, education, etc.)

What is your long term goal/vision statement?

What programmes are you currently running?

How many beneficiaries do you have per month?

Upload your founding documents:

Click or drag a file to this area to upload.

Do you have Zapper?

Upload your Zapper code:

Click or drag a file to this area to upload.

Are you audited annually?

Yes
No
When needed

If yes, by whom?

How many salaried staff do you have?

0
1-5 people
6-10 people
More than 10 people

Do your staff have contracts?

Yes
No
In progress

How many months expenses does your organisation have in savings?

1 month
2-4 months
5-7 months
8 months or more

Indemnity

You indemnify and hold us and our affiliates harmless against any claim by yourself, or your partner (if applicable), whether direct, indirect, incidental, punitive or consequential of any nature, whether arising from negligence or any other cause, relating to any loss, liability, expense and/or damage which you may suffer, howsoever arising, in relation to your entry into this competition and/or acceptance and/or use by you of a prize

Agree
Disagree

You, your staff and your organisation will not be paid to exhibit by the organisers or staff. No stipends, travel money or food will be provided over the three days of exhibiting. Please acknowledge your organisation has no expectation of remuneration/funding.

I understand

I acknowledge that, should my organisation be selected, 2 representatives who will be at the expo will attend the compulsory Marketing Workshop on 10 March in Morningside, Durban.

I agree

I give Gateway Theatre of Shopping, Hollywood foundation and We are Durban Social Upliftment NPC and its partners the irrevocable, perpetual and unrestricted right to take and use photographs and or videos of the staff/volunteers of the above stated organisation in all forms for advertising, promotion, exhibition on social media and print media except for pornographic or defamatory uses. I waive any right to review or approve the photographs or videos, the use of the photographs or videos or the way that the photographs or videos are used now or in the future, regardless of whether the use or matter is known to me. I waive any right to Royalties or other compensation arising from the use of the photographs or videos.

Agree
Disagree

Change in Action NPO Fair Application

Indemnity

In The Media

Purple Hearts - Annual Bucket Drive

Pad Run with Hollywood Foundation and YEISA

Life By Design Foundation

Health & Safety

Categories

Tags

REGIONS

NAVIGATION

In The Media

Purple Hearts - Annual Bucket Drive

Pad Run with Hollywood Foundation and YEISA

Life By Design Foundation

Health & Safety

Categories

Tags