Form AID 101-1 AID 101-1 Feed the Future Public-Private Partnership Opportunity E

Feed the Future Public Private Partnership Opportunity Explorer (PPOE)

#3 AID Form 101-1 Feed the Future Public-Private Partnership Opportunity Explorer UPDATED (2)

Feed the Future Public-Private Partnership Opportunity Explorer

OMB: 0412-0585

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Feed the Future Public-Private Partnership Opportunity Explorer

Complete this form* to indicate your organization’s interest in a public-private partnership with Feed the Future and connect with the right person to help you continue the exploration process.

First Name:*      

Last Name:*      

Organization:*      

Position:*      

Work Email:*      

Work Phone:*      

Who else has your organization contacted at USAID or partnering Feed the Future agencies?*

     

What type of partnership is your organization interested in? (Please select all that apply. For information on each, click here)

Embed within an existing program

Collaboration agreement

Other

Competitive grant

Loan guarantee

Please indicate:      


Is your organization currently in partnership with any U.S. Government agency? Yes No

(If yes, please select all that apply)

USAID

Peace Corps

U.S. Department of State

Overseas Private Investment Corporation

U.S. Department of Agriculture

Office of the U.S. Trade Representative

U.S. African Development Foundation

U.S. Department of the Treasury

Other

Millennium Challenge Corporation

Please indicate:      



Has your organization been in partnership with any U.S. Government agency in the past? Yes No

(If yes, please select all that apply)

USAID

Peace Corps

U.S. Department of State

Overseas Private Investment Corporation

U.S. Department of Agriculture

Office of the U.S. Trade Representative

U.S. African Development Foundation

U.S. Department of the Treasury

Other

Millennium Challenge Corporation

Please indicate:      



Sectors

In which Feed the Future sectors does your organization want to work?* (Select all that apply. For more information on each, click here)

Science & technology

Risk mitigation

Nutrition education

Capacity building

Policy reform

Nutrition services

Research and extension services

Pre-harvest market efficiency

Other

Environment and natural resource management

Improved market function

Please indicate:      

Financial services

Reduced post-harvest loss




Resources

What resources can your organization bring to a partnership? (cash, in-kind)* (Select all that apply. For more information, click here)

$250,000, 25% of which is cash

Technology

Commodities

Communications and capital assets

Use of training or other purpose-specific facilities

Intellectual property rights

Time donated by technical consultants

Other

Staff dedicated to project

Please indicate:      





Countries

In which Feed the Future country does your organization want to work?* (Select all that apply. For information on each country, click here)

Bangladesh

Kenya

Senegal

Cambodia

Liberia

Tajikistan

Ethiopia

Malawi

Tanzania

Ghana

Mali

Uganda

Guatemala

Mozambique

Zambia

Haiti

Nepal

Other

Honduras

Rwanda

Please indicate:      


If you have a concept note, white paper or a couple of paragraphs to explain more about your organization’s partnership idea, please include it with this form.

*required field

Please check this box if your organization considers the information it is providing on this form to be privileged or confidential commercial or financial information that your organization does not intend to disclose to the public.


*Please note that federal agencies may not conduct or sponsor a collection of information, nor are you required to respond to one, unless it displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX. All responses are voluntary.

We estimate that it will take approximately 15 minutes per response for you to review and complete this form. If you have comments or suggestions about the form, please send us an email at feedthefuture@usaid.gov.


To submit this form, please email or fax to the Bureau for Food Security at the U.S. Agency for International Development: feedthefuture@usaid.gov or 202-216-3121


AID 101-1 (12/2012) Page 2 of 2

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleFeed the Future Public-Private Partnership Opportunity Explorer
AuthorUSAID
File Modified0000-00-00
File Created2021-01-29

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