Y-RIE Partner Registration Form

Name of Organization *

Email Address *

Street Address *

Address Line 2

City *

State/Province/Region

Zip/Postal Code

Country *

Office Phone Number

Organizational Contact Information

Primary contact

Name *

Phone

Title *

Email *

Add another?

Name *

Phone

Title *

Email *

Add another?

Name *

Phone

Title *

Email *

Organizational Information

Upload Local Legal Registration Documents

Unique Entity Identifier (UEID*) (click here to register)
*Required for awards over $25,000 USD.

Organization Type *

Your Mission/Services Offered *

0/255 characters

Technical Area of Expertise *

0/255 characters

Relevant Experience Working with At Risk Youth and Communities

0/750 characters

By signing below, I hereby certify that the information provided above is accurate and that my organization is interested in being added to the Y-RIE Partner Database. I also confirm that my organization is willing to be contacted, using the methods provided, about potential partnership opportunities should our capabilities align with a Y-RIE activity.

Signature of Authorized Representative *

clear

First Name *

Last Name *

Click here to navigate back to the YRIE RFA 001 Announcement page (Guyana).

Click here to navigate back to the YRIE RFA 002 Announcement page (Guyana).

Click here to navigate back to the APS Announcement 002 page (Guyana).

Click here to navigate back to the APS Announcement 001 page (Saint Lucia and Grenada).