Expression of Interest - Sponsor

Expression of interest in I4J Initiatives for sponsors

A - Contact Person's Details

Please provide the following contact information:

First Name

Last Name

Title

Home Address

Address (cont.)

City

State

Zip/Postal Code

Mobile Phone

Home Phone

FAX

E-mail

Website

Position in Organization

B. Organization Details

Please provide the following information about your organization:

Name of Organization

Office Address

Address (cont.)

City

State

Phone

FAX

E-mail

Website

Nature of Business

Type of Organization

Organization Profile
(Please Attach if available)

C. Grant Details

Please provide the following grant information:

How many beneficiaries would you like to sponsor?

Value of grant in Naira per beneficiary

What type of project will interest you?

Please state the preferred geographical location of beneficiaries of interest National
State (s)
Please list
Local Government
Please List

How soon can you make the grant available?

First Name
Last Name
Title
Home Address
Address (cont.)
City
State
Zip/Postal Code
Mobile Phone
Home Phone
FAX
E-mail
Website
Position in Organization

Name of Organization
Office Address
Address (cont.)
City
State
Phone
FAX
E-mail
Website
Nature of Business
Type of Organization
Organization Profile (Please Attach if available)

How many beneficiaries would you like to sponsor?
Value of grant in Naira per beneficiary
What type of project will interest you?
Please state the preferred geographical location of beneficiaries of interest	National State (s) Please list Local Government Please List
How soon can you make the grant available?