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HOPE PROVIDER ASSOCIATES
APPLIATION FORM

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Please provide the following information to enable Communitywide evaluate the best projects, programs or activities where your services can make a difference.

SERVICES YOU ARE ABLE TO PROVIDE

*Services

Medical Services

Psycho-therapy

Health care delivery

I.T. Services

Trainer

WritingReporting

Grant Sourcing & Writing

Project & Program Management

Counselling and Guidance

Mentoring

Event Planning and Management

Any Other (Please Specify)

Remarks Comments

BIO

Profile title

Summarize your experience, specialties, and your story or business history

Education

Professional certifications or licenses

Reviews or testimonials

Digital photo of you

AVAILABILITY

Hours and dayparts (weekdays, weekends, evenings) you are available

Your typical response time

Distance you are willing to travel

CONTACT INFORMATION

*Phone number

*Email

Website

Address, linked to a map

OTHER AREAS YOU ARE WILLING TO PROVIDE SERVICES

Seek Grant and Funding for Communitywide projectsprograms

Serve as Mentor for Students

Represent Communitywide on other organization

Serve as Trainer or Consultant on Communitywide Projects or program

Any Other Area of specialization you want to provide

Head-Office

Communitywide Charities Inc.
300 Congress Street Ste 313
Quincy, MA 02169-0907

Tel : 617-649-6949

Email : support@communitywide.org

Africa-Office

Communitywide Grassroots Organization
4 Alhaji Lamidi Street
Papa-Ajao, Lagos, Nigeria.

Tel: 08143979331; 08082000198; 08033251230

Email : africasupport@communitywide.org

home
Programs
Our Story
Volunteer
Contact

HOPE PROVIDER ASSOCIATES APPLIATION FORM