Thank you for your interest to join the East Africa Philanthropy Network (EAPN).Fill the form below to apply.
Organization Name *
Physical Address *
Name of Applicant *
E-mail Address *
Type of organization: (Tick where applicable) *
Community FoundationFamily Foundation/ TrustInternational/ National NGODonor AgencyPrivate FoundationOther
If other, please specify
Registration details (please indicate what your organizations is registered as and the registration number
Objectives of the organization
Briefly describe how the organization is governed.
Who are the members of your board (please indicate their names and where they work)
What are your major sources of funding?
Who have been your donors over the last 3 years? (please indicate their names and amounts given in USD over the period)
What services does your organization provide?
AdvocacyTrainingRepresentationInformationResearch/ Data CollectionCapacity building
What are your organization's sectoral areas of interest (tick as appropriate)?
Children/ YouthWomen/ GenderCivil SocietyConservationDemocracy/GovernanceInvesting in People (i.e. scholarships)Economic & Business DevelopmentMedia (ﬁlm/electronic/print)EducationDisplaced persons/refugeesEnvironmentTransgender issuesHealthConﬂict resolution/Peace buildingScienceResearchStrengthening Institutions/Capacity BuildingOther
In terms of geography, how does your foundation fund/work in East Africa? (Check all that apply.)
Regionally (e.g. funding in whole of East Africa)Nationally (e.g. funding only in Uganda, Kenya, Tanzania, etc)
For how long has your organization been practicing Philanthropy?
Does your organization give grants?
If yes, what type of grants do you give? (Please indicate also whether the grants you give are one- off grants, short–term (less than one year) or long term (more than one year)
Who determines the recipient of your grants?
How many grants did you give in the last financial year?
How much was disbursed (in US dollars) last financial year?
For how long has your organization been involved in grantmaking activities?
How often do you publish audited financial reports?
Type of membership applied for
Full Member-1000$Affiliate Member-750$Associate Member-400$
Mode of payment
Date of payment
Name of payer
Name two organizations from the current members of EAPN that will be your referees
How did you learn about EAPN?
Mass Media (Radio, TV, Newspapaer)BrochuresAnother OrganizationAn IndividualWebsiteE-mail messagingSocial mediaOther
What are your expectations from the Network?
The Network's Board reserves the right to reject the application for membership.
Username or Email Address