SGB Evidence Fund Interest Form

Thank you for your interest in the SGB Evidence Fund! This survey will let us know a little more about the focus of your interest so we can keep you updated on opportunities through the fund.

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* 1. Your Name

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* 2. Your Email

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* 3. Your Organization Name

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* 4. Where you are based (city, country):

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* 5. Where your organization runs programs or makes investments (if different than above):

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* 6. Please briefly describe the questions or issues you would like to address through a partnership with a researcher.

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* 7. Are you interested in attending a workshop with researchers in Nairobi in July to develop a potential partnership with a researcher?

Yes

No

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* 8. Do you already have a researcher with whom you potentially intend to partner to develop a proposal for the fund?

Yes

No