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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.