GISCorps - GISCorps Partner Agency Application

GISCorps Partner Agency Application


Agency Information
Agency Name *
Contact Person Name *
Position *
Street Address *
City *
State	(if inside the US)
Province	(if outside the US)
Zip Code
Country *
Phone
Fax
Email *
Website URL
Years in Operation *
Status
Number of Volunteers Needed
Nature of Position/Job title
Duration of Service
Type of Work
Requested Skills * Paste a Job Description (TOR), no more than 200 words in the box below.
The Agency will provide the following to the volunteer (please include amount)
Insurance
Airfare
Accommodation
Meals
Other
Describe the source and amount of funding you have for this project
How did you hear about the GISCorps?
If data and/or maps are to be created by GISCorps volunteers assigned to this mission, who is the intended end user of that data?
Will you share the data created by this mission with other humanitarian organizations? If so, please list them.
How much of your budget is set aside for the tasks that are to be completed by GISCorps volunteers?
Could you afford to perform these tasks (perhaps by hiring consultants) if GISCorps volunteers were not available? Please provide an explanation and details.
Thank you for your interest.

Agency Information