PARTNERSHIP APPLICATION FORM Fields marked * are required Organization Name* Type of partner you’d like to sign up as* DonorImplementerChampion Go to www.nigeriacookstoves.org for details of the various categories Name (surname first)* Email* Street 1* Street 2 City/State* Country* AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar, {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Phone Yes, I would like to receive postal mail from the Alliance Organization Information Organization Type* GovernmentNon Governmental organizationPrivate sectorBilateral and multilateralCarbon project developmentAcademiaIndependent consultantOther organization type Fuels and technologies (you can tick more than one)* Alcohol FuelsBiogasBiomassCoalKeroseneLiquid Petroleum GasN/A (technology neutral)SolarOther Sectors of experience and expertise (you can tick more than one)* AgricultureBehavior ChangeFinancial/BankingForestryGenderCarbon FinanceEducationHealthInfrastructureRenewable EnergyEnergyEnvironmentRural DevelopmentSmall BusinessOther Please briefly explain the primary sectors that most closely represent your organization's experience and expertise* (Maximum 5 rows of text) Mission/summary: Please provide one or two paragraphs describing your organization's mission, and its work and/or interest in clean cookstoves and fuels. Please include details on any initiatives underway to reduce exposure to indoor air pollution, and your respective goals and successes to date* Initiatives/targets/scale: Please provide details on any initiatives underway, including countries, characteristics of your target populations (urban/rural, socio-economic status) and the scale of the initiatives (community/state/national/international level) and the nature and scope of the intervention* (Maximum 5 rows of text) Social/Cultural barriers: Please comment on your experience and/or interest in social/cultural barriers to using traditional fuels and stoves* (Maximum 5 rows of text) Market development: Please briefly describe how your organization would like to participate in the partnership, including how your organization can contribute (e.g. experience, skills, etc.). (Maximum 5 rows of text) Publications: Please list any attachments you would like to include as part of your application here and email them to info@nigeriacleancooking.org Δ Search for: Partner Of The month – Greenland Fati Gold Services Nig. Ltd Newsletter Sign-up Email address: Leave this field empty if you're human: