organization form – Samir Foundation

Samir Foundation

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Ambassadors Application ( organizations )

This form is for organizations who wish to become ambassadors and support the mission of Samir Foundation.

Organization infomation

What is the name of the organization in both Arabic and English?

When was the organization founded? (Month and Year)

What type of organization is it? (Select one)

NGO

Startup

Small and Medium-Sized Enterprise (SME)

Association

University

Institution

Other

Liaison name and contact (email & phone):

What are the official pages of the organization? (Provide links to all social media pages, website, or app if available)

Mission, Activities, and Services

What are the organization’s goals, and what are the key activities that help achieve them? (Mention the most significant and impactful initiatives, within 200 words)

What services can the organization provide specifically for medical students in Gaza and for the people of Gaza in general? (Within 200 words)

Organizational Structure

How many founders does the organization have? Please provide their names.

How many employees work in the organization, and what are their roles?

Strategic Partnerships & Funding

Does the organization have any strategic partnerships? If so, how are these partnerships utilized to support medical students in Gaza? (Optional)

Does the organization receive any funding or support from donors, political entities, embassies, governments, or any other institutions? Please provide details.

Application Motivation & Future Goals

What is the motivation for applying?

What are the organization’s key objectives for 2025 and 2026? (Summarize in less than 100 words)

Which theme(s) best align with your organization's mission or potential area of support? (Select all that apply)

Mentorship & academic support

Clinical training opportunities

Research collaboration

Advocacy & awareness

Fundraising & resource mobilization

Humanitarian or health systems strengthening

Medical education & student empowerment

Other..

From Under the Rubble to a Brighter Palestinian Healthcare System.

Registered in England & Wales
Company No. 16334765

Contacts

First Central 200, 2 Lakeside Dr, London NW10 7FQ
Info@samirfoundation.org

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