Apply to Seriti Partner | Become a Solutions Partner

Where did you hear about this opportunity?

Seriti Website
Social Media
Word of Mouth
Sangonet

Organisational Information

Registered Name of Organisation*

Date of Registration*

Is your NPO registered with DSD?*

What is your NPO registration number?*

Is your organisation registered on CIPC?*

What is your CIPC registration number?*

Is your organisation recognised as a PBO with SARS?*

What is your PBO reference number?*

Permanent Office Address*

Street Name and Number Suburb/ Township City/ Town/ Village Postal Code

In which province is your head office based?*

Your Organisation's Website Address*

Head of Organisation

Head of Organisation Job Title*

Name of Head of Organisation*

Title Name Surname

Email

Enter Email Confirm Email

Mobile*

Office*

Contact Person

Is the Contact Person different from the Head of Organisation?*

Contact Person Job Title*

Name of Contact Person*

Title Name Surname

Email

Enter Email Confirm Email

Mobile*

Office*

Organisational Profile

Describe the management structure of the organisation*

Describe in brief your organisation's background and focus areas?*

List your strategic business partners with a brief description of their role*

Strategic Business Partner Name	Relationship/ role in relation to your organisation

How many years have you been operating?*

List the social media your organisation uses*

Platform Name	URL/Hyperlink

Facebook, Twitter, LinkedIn, Instagram, YouTube etc.

Total Number of staff*

Number of staff who are*

Men	Women	Youth	PWDs

Total Number of volunteers*

Number of volunteers who are*

Men	Women	Youth	PWDs

Total Number of beneficiaries*

All programmes/projects combined

Number of beneficiaries who are*

Men	Women	Youth	PWDs

Describe the community(ies) you operate in*

In list format, please indicate the location or give examples, as well as target group, brief description, and the nature of work being done in each community.

Select the provinces you work in*

Eastern Cape
Free State
Gauteng
KwaZulu Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape

Select the sectors you work in*

If Other, please specify*

Needs Assessment

Select no more than three (3) which most describe your needs*

Please note we invite you to suggest "other" types of assistance, however, we may not be able to provide support.

If Other, please specify*

Briefly describe the problem for each of the needs selected above, and identify the challenges for each*

Financial Information

What is your financial year end?*

What is your annual turnover?*

In list form provide a breakdown of your funding sources, value as percentage contribution, period of funding in months, and current status below*

Type of Funding	Percentage contribution	Number of months funded	Status

"Type of funding" refers to government, private sector, grants, pro bono services, in-kind donations, fee-for-service, etc.

Supporting Information

Indicate if your organisation have the following in place*

Incorporation Documents
Organisational Chart
Tax Clearance Certificate/PIN
BEE Certificate
HR Policies and Procedures
Financial Accounts/Management Accounts
Minutes from all Board/Shareholder Meetings
Projections, Budgets and Forecasts for the Financials of the next 5 years

Select only those which you will be able to supply upon successful progression to the due diligence process

Consent*

I agree to Seriti PARTNER Terms and Conditions

Applicants must comply with the (1) Code of Conduct and (2) Ethics Code and must agree to (3) Seriti's Data Management and Privacy Terms and Conditions.

1. Code of Conduct:
– Act in all circumstances with honesty, integrity and professionalism;
– Ensure that our funders/donors and stakeholders’ interests and identified needs remain paramount;
– Adhere to the highest ethical standards of service;
– Subscribe to and comply with all applicable laws and regulations in our business dealings;
– Immediately disclose any actual or potential conflict of interest, which may have the potential to interfere with the independence of one's judgement against the best interests of our project partners and Seriti;
– Maintain the integrity of confidential or proprietary information and ensure it is used solely for the purpose for which it is intended;
– Subscribe to a policy of equal employment without discrimination based on race, religion, colour, affiliation or gender or any other discriminatory factors; and
– Report unethical conduct to senior management and the Board.

2. Seriti Ethics Code:
Seriti strives to maintain a high standard of integrity in all of its operations and business relationships, both inside and outside Seriti.
We value and actively promote respectful, collegial, and trusting relationships. In our dealings with potential social partners and clients, Seriti seeks to practice positive values and high standards. Our objective is to sustain and fulfil expectations by:
– Being open, fair, and transparent in our business relationships with outside parties;
– Honouring the commitments that we make to social partners, and clients;
– Promoting candid two-way communications to ensure that each party’s agenda and perspectives are well understood; and
– Seeking to resolve issues and disagreements constructively.

3. Data Management and Privacy Terms and Conditions:
– You agree to be registered on Seriti's Database of social partners;
– You agree that as part of Seriti PARTNER programme, Seriti produces learnings and insights based on our work and experience with social enterprises and civil society organsiations, however, nothing that can identify specific organisations is reported;
– You agree that as part of our marketing approach to raising the profile of our social partners and Seriti's work, you agree to being profiled, including the use of your logo, on social media and our website;
– You understand that Seriti will not share and will maintain and uphold the confidentiality of your information, and will not share data with third parties without prior written consent;
– Likewise you agree to maintain and uphold the confidentiality of information about Seriti and its operations; and
– The undertaking given herein shall not preclude disclosing the confidential information provided in so far as such disclosure is required by law.

I have read and agree to adhere to the Terms and Conditions of this Application, and accept that my details will be added to the Seriti Database*

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