Impact Iran –– Membership Application

We appreciate your interest in joining the Impact Iran community of organizations. For additional information or to inquire about relevant concerns, please contact info@impactiran.org>.

We appreciate your interest in joining the Impact Iran community of organizations. For additional information or to inquire about relevant concerns, please contact info@impactiran.org>.

  • Who should we contact about this application?

Nomination Information

  • How did you hear about Impact Iran?

Are you applying as an organization or an individual?

Who referred you to us? Please name the organization, entity, or individual that referred you to us, or that nominated you for coalition membership.

If the above is not applicable, please explain how you learned about Impact Iran.

Basic Information

  • Tell us about your organization
  • Tell us about your online footprint.
  • Leadership Team/Key Persons

Please provide the names and title(s)/roles(s) of your organization's leadership team or key staff members.

About Your Impact

  • MISSION & VALUES


Tell us about your organization's mission and goals.

Please note your organization's mission statement, if applicable.

What core values guide your organization?

  • OBJECTIVES, OPERATIONS & OUTCOMES

Describe your organization's objectives.

Where does your organization operate?

If you selected 'yes,' to the question above, please briefly explain.

List the country or countries other than Iran where your organization operates.

Tell us about your organization's general activities.

Briefly describe your organization's primary activities.

List the main themes or areas of focus your organization addresses.

Who does your work benefit, and/or what conditions does your work address?

Please list any groups or communities that may benefit from your activities.

Please describe the conditions that your organization's work addresses.

Does your organization engage in advocacy activities?

Does your organization engage in public advocacy? If so, please explain below.

Does your organization engage in international advocacy? If so, please explain below.

Has your organization ever submitted petitions, research reports, or other information to international accountability mechanisms? If so, please explain.

About Your Partnerships

  • MEMBERSHIPS AND PARTNERSHIPS

Do you have any formal public partnerships? If so, please list, if possible

Does your organization currently belong to any other coalition or alliance? If so, please name them, if possible

Has your organization ever belonged to a coalition or alliance? If so, please explain.

Why Impact Iran?

Why is your organization interested in becoming a member of Impact Iran?

How will joining Impact Iran benefit your organization’s work and impact?

What Impact Iran activities would your organization be interested in participating in or benefiting from?