WE4F 2.0 - (Track 4) - EOI Application

General Information

Name of the organization (s)

Your organization's website or any social media

Title of the Innovation (if applicable)

Type of Organization:

If other, please indicate the type of company below

Primary point of contact information

Full Name

First NameLast Name

Position title

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Fax Number (if applies)

Please enter a valid phone number.Format: (000) 000-0000.

Email address

example@example.com

Secondary point of contact information

Full Name

First NameLast Name

Position title

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Fax Number (if applies)

Please enter a valid phone number.Format: (000) 000-0000.

Email address

example@example.com

Share of women in founding and/or management team (%) (Numeric input only)

(Numeric input only)

Share of female employees (part-time and full-time) (%) (Numeric input only)

(Numeric input only)

Are you willing to collaborate with WE4F 2.0 in documenting and providing key impact metrics?

Through providing grants, Technical Assistance, and partnership opportunities to fast growing Water/Energy-Food Nexus and climate resilience Organizations (“innovators”) as well as supporting the enabling environment in which such innovators operate,WE4F 2.0 aims to enable 100s of thousands of end-users in agriculture and food production value chains in the targeted countries in MENA to adopt affordable water and/or energy saving solutions to enhance their resource efficiency, agriculture and food production productivity as well as their climate resilience. Therefore, the selection of the organizations for the call for early-stage firms in Syria, and the extent they could continue to benefit from the Programme, is contingent upon the provision of key information and data to be provided by the innovators to measure the impact of their solutions on end-users. Such information includes, and is not limited to, the numbers and gender breakdown of the Innovation’s end-users, the changes in income levels, the water and/or energy savings as a result of using the Innovation. Examples of documentation include locations, and contact information of end-users (e.g., from CRM systems),income ranges, savings in energy or water consumption and food produced or processes (e.g., information from data loggers, inputs backed by sales data, publications and/or primary research, etc.). WE4F 2.0 will also provide a wealth of resources, best practices, training, tools, and one-to-one support to the innovators to prepare the information required and has successfully supported 69+ innovators in MENA in upgrading their ability to document and report on key financial and impact matrices

1. Are you applying as a standalone Organization or in a consortium?

If you are applying as a consortium, please list the name of the lead organization as well as the name of the other Organizations (co-applicants).

2. For Your Organization (Lead Applicant):

Name

Year of incorporation

Year of start of operations

Country (its) of legal incorporation

Country (its) of operations in targeted countries

o For the consortium partner (s)/co-applicants

(indicate N/A or 0, if you are a Standalone Organization)

Name

Year of incorporation

Country (its) of legal incorporation

Country (its) of operations in targeted countries

3. Are you established in Syria?

If you are not established in Syria – do you have a national partner?

If yes, How many years has your partnership been operational? (Numeric input only)

Click or tap here to enter text. year(s)

4.Number of full-time employees (as of time of application to WE4F 2.0):

5. Annual revenues (in US Dollars) if none please write “0”:

6. Nexus focus area:

7. Thematic area targeted (select all that apply)

8. What steps have already been completed in developing the business? (For example: company registration, team hiring, prototyping, pilots, partnerships, initial sales, or investment raised) (not scored)

9. The WE4F 2.0 grant does not fund construction activities. Does your Innovation/solution require any construction/land development activity (ies) at any stage of operations to be financed by the grant?

10. Does your Innovation/solution/business model use, intend to use, or encourage/drive usage of any type of pesticides/herbicides either directly or indirectly?

WE4F 2.0 - Call for early-stage firms in Syria (Track 4) - EOI Application

General Information

If you’re not a registered entity, please pause your application for future rounds. Thank you for considering us.

Primary point of contact information

Secondary point of contact information

Eligibility Questions: The following questions apply to the Lead Applicant organization.

2. For Your Organization (Lead Applicant):

If you’re not established in Syria – do you have a national partner? if you do not have a partner please pause your application for future rounds. Thank you for considering us.

If your response to Q9 or Q10 is “Yes”, please pause your application. Thank you for considering us.

11. Grant request and Matching Funds

Please use the official exchange rate provided by your national central bank for all conversions to US Dollars

Innovation Details: