Basic Information: Name of your organization Website Name of primary contact (required) Email of primary contact (required) Phone number of primary contact (required) Information About Your Organization: When was your organization founded, and what is your organizational mission? What are your current programs, activities, and accomplishments? Please provide information on past projects that your organization has successfully completed, including date completed and the budget for the project. What is your current annual budget and primary source of income? How many employees/volunteers does your organization currently have? Does your organization qualify for tax-exempt status? Explain how your mission aligns with HydrateLife’s mission, and why your organization should be chosen to partner with HydrateLife. Details About the Community: Where is the proposed project located? What is the population of the community that will be served? Why does this community need the assistance of organizations like yours and HydrateLife? Is the community currently employing any methods to improve the quality of their water? Do they have sanitation facilities? Is the community suffering from diseases or other health problems related to their water and/or sanitation situation? Please tell us a little about the community that will be served, such as demographics, where their income comes from, language, etc. If this project is approved, do you know who from your organization will participate in the project? If so, please include a summary of each person, including their education, their past experience with water and sanitation projects, how long they’ve been with your organization, and any other relevant information. Please provide any other information that you think we should know regarding your organization, or the community being served. If you have any questions for us please use the space below to ask them. Thank you for submitting your application to HydrateLife. We will review your application and respond soon.