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Organization Information (items marked with an * are required)

Business Type (check all that apply) :

Industry Type (check all that apply) :

Please indicate the primary sectors that most closely represent your organization's experience and expertise (check all that apply) :

Contact Information (items marked with an * are required)

Primary Contact

Secondary Contact

Additional staff emails

Countries of Operation (check all that apply)

North America

Central America

South America


Middle East and North Africa



Australia and Oceania

Mission/Summary of Goals/History of Organization (this item is required)

Please provide one or two paragraphs describing your organization's mission, and its work and interest in renewable energy and energy access. Please include a brief description of your organization’s history and any awards your organization has received

Achievements to Date (this item is required)

Please provide details on any energy access initiatives undertaken by your organization. Please include characteristics of your target populations (urban/rural, socio-economic status), the scale of the initiatives (community/state/national/international level), the nature and scope of the intervention, and the overall success of the initiatives.