Partner with us form Full name (point of contact)(Required)Business name(Required)Address(Required) Street address * City * State / province / region * ZIP / postal code * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country * Email address(Required) Phone number(Required)Organization type(Required) Corporation/S Corporation Partnership/LLP LLC – Corporation or S Corporation LLC – Partnership LLC – Single Member Individual/Sole Proprietor Nonprofit Government Authority Educational Institution Disregarded Entity Foreign Entity Other If other, please specify:Unique Entity Identifier (UEI)(Required)Enter N/A if not applicable.North American Industry Classification System (NAICS) code & industry title(Required)221122 Electric Power Distribution Systems22130 Heating and AC Providers236210 Industrial Building Construction236220 Commercial and Institutional Building Construction237130 Power and Communication Line and Related Structures Construction237310 Land Subdivision238210 Electrical Contractors and Other Wiring Installation Contractors238220 Plumbing, Heating, and Air-Conditioning Contractors238330 Flooring Contractors238990 All Other Specialty Trade Contractors311812 Commercial Bakeries311991 Seeds, Snack Manufacturing313210 Broadwoven Fabric Mills314999 All Other Miscellaneous Textile Product Mills323111 Commercial Printing (except Screen and Books)323113 Commercial Screen Printing323117 Books Printing323120 Support Activities for Printing325120 Industrial Gas Manufacturing325412 Pharmaceutical Preparation Manufacturing325413 In-Vitro Diagnostic Substance Manufacturing325992 Photographic Film, Paper, Plate, and Chemical Manufacturing326199 All Other Plastics Product Manufacturing332311 Prefabricated Metal Building and Component Manufacturing333244 Printing Machinery & Equipment Manufacturing333318 Other Commercial and Service Industry Machinery Manufacturing334111 Electronic Computer Manufacturing334210 Telephone and Network Apparatus Manufacturing334290 Other Communications Equipment Manufacturing334510 Electromedical and Electrotherapeutic Apparatus Manufacturing334513 Instruments and Related Products Manufacturing for Measuring334516 Analytical Laboratory Instrument Manufacturing334519 Other Measuring and Controlling Device Manufacturing339112 Surgical and Medical Instrument Manufacturing423130 Tire and Tube Merchant Wholesalers423210 Furniture Merchant Wholesalers423410 Photographic Equipment and Supplies Merchant Wholesalers423420 Office Equipment Merchant Wholesalers423430 Computer and Computer Peripheral Equipment and Software Merchandise423450 Medical, Dental, and Hospital Equipment and Supplies Merchandise423490 Other Professional Equipment and Supplies Merchant Wholesale424110 Printing and Writing Paper Merchant Wholesalers424120 Stationery and Office Supplies Merchant Wholesalers442110 Furniture Stores451110 Sporting Goods Stores453210 Office Supplies and Stationery Stores453220 Gift, Novelty, and Souvenir Stores481111 Scheduled Passenger Air Transportation481112 Scheduled Freight Air Transportation484110 General Freight Trucking, Local484121 General Freight Trucking, Long-Distance, Truckload484122 General Freight Trucking, Long-Distance, Less Than Truckload484210 Used Household and Office Goods Moving484220 Specialized Freight (except Used Goods) Trucking, Local488510 Freight Transportation Arrangement492110 Couriers and Express Delivery Services493110 General Warehousing and Storage511110 Newspaper Publishers511120 Periodical Publishers511140 Directory and Mailing List Publishers511210 Software Publishers512110 Motion Picture and Video Production512240 Sound Recording Studios512290 Other Sound Recording Industries517110 Wired Telecommunications Carriers517210 Wireless Telecommunications Carriers (except Satellite)517410 Satellite Telecommunications517911 Telecommunications Resellers518210 Data Processing, Hosting, and Related Services519120 Libraries and Archives519130 Internet Publishing and Broadcasting and Web Search Portals519190 All Other Information Services522220 Sales Financing522298 All Other Nondepository Credit Intermediation524114 Direct Health Insurance Carrier524292 Third Party Administration of Insurance and Pension Funds531110 Lessors of Residential Buildings and Dwellings532490 Other Commercial and Industrial Machinery and Equipment Rent541110 Offices of Lawyers541211 Offices of Certified Public Accountants541219 Other Accounting Services541310 Architectural Services541330 Engineering Services541380 Testing Laboratories541430 Graphic Design Services541490 Other Specialized Design Services541511 Custom Computer Programming Services541512 Computer Systems Design Services541519 Other Computer Related Services541611 Administrative Management and General Management Consulting541612 Human Resources Consulting Services541613 Marketing Consulting Services541618 Other Management Consulting Services541690 Other Scientific and Technical Consulting Services541711 Research and Development in Biotechnology541712 Research and Development in the Physical, Engineering, and Laboratory541720 Research and Development in the Social Sciences and Humanities541810 Advertising Agencies541820 Public Relations Agencies541860 Direct Mail Advertising541910 Marketing Research and Public Opinion Polling541930 Translation and Interpretation Services541990 All Other Professional, Scientific, and Technical Services561311 Employment Placement Agencies561320 Temporary Help Services561410 Document Preparation Services561499 All Other Business Support Services561510 Travel Agencies561611 Investigation Services561622 Locksmiths561720 Janitorial Services561730 Landscaping Services561920 Convention and Trade Show Organizers561990 All Other Support Services562112 Hazardous Waste Collection611310 Colleges, Universities, and Professional Schools611420 Computer Training611430 Professional and Management Development Training611610 Fine Arts Schools611710 Educational Support Services621111 Offices of Physicians (except Mental Health Specialists)621112 Offices of Physicians, Mental Health Specialists621498 All Other Outpatient Care Centers621511 Medical Laboratories622110 General Medical and Surgical Hospitals623110 Nursing Care Facilities (Skilled Nursing Facilities)624210 Community Food Services711510 Independent Artists, Writers, and Performers712130 Zoos and Botanical Gardens721110 Hotels (except Casino Hotels) and Motels722310 Food Service Contractors722320 Caterers811212 Computer & Office Machine Repair811412 Appliance Repair and Maintenance812930 Parking Lots and Garages813110 Religious Organizations813212 Voluntary Health Organizations813312 Environment, Conservation and Wildlife Organizations813319 Other Social Advocacy Organizations813410 Civic and Social Organizations813920 Professional Organizations<923120 Administration of Public Health ProgramsHold the command key (Mac) or ctrl key (Windows) for multiple selections.Small-business classification; select all that apply(Required) Small business Small disadvantaged business (SDB) Women-owned small business (WOSB) Service-disabled veteran-owned small business (SDVOSB) Veteran-owned small business (VOSB) Historically underutilized business zone small business (HUBZone) Tribal or Alaska Native Corporation (ANC) Foreign entity - not applicable Technical areas; select all that apply Civil society Communication and social marketing Crisis response Cyber security Digital development Economic development Education Environment and climate action Gender Health Nutrition Proposal support Research Technology Training and business management Youth Geographical experienceAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsHold the command key (Mac) or ctrl key (Windows) for multiple selections.Donor agency experience; select all that apply U.S. Agency for International Development (USAID) U.S. Centers for Disease Control and Prevention (CDC) U.S. Department of Agriculture U.S. Department of Defense U.S. Department of Education U.S. Department of Health and Human Services U.S. Department of Labor U.S. Department of State Millennium Challenge Corporation UK Department for International Development Australian Department of Foreign Affairs and Trade Other If other, please specify:Have you worked with FHI 360 before?(Required) Yes No If yes, please provide additional information:Corporate capabilities narrative (limit to 150 words). Please use this space to describe your business’s capabilities and/or share any other relevant information not asked above.Attach a document (for example, capability statement, company profile, certification and/or any other relevant documentation)Accepted file types: pdf, doc, docx, ppt, pptx, Max. file size: 20 MB.Self-certification(Required) Under penalties of perjury, I certify that to the best of my knowledge the information provided is accurate and sufficient. UntitledFirst ChoiceSecond ChoiceThird ChoiceUntitledFirst ChoiceSecond ChoiceThird Choice
Partner with us form Full name (point of contact)(Required)Business name(Required)Address(Required) Street address * City * State / province / region * ZIP / postal code * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country * Email address(Required) Phone number(Required)Organization type(Required) Corporation/S Corporation Partnership/LLP LLC – Corporation or S Corporation LLC – Partnership LLC – Single Member Individual/Sole Proprietor Nonprofit Government Authority Educational Institution Disregarded Entity Foreign Entity Other If other, please specify:Unique Entity Identifier (UEI)(Required)Enter N/A if not applicable.North American Industry Classification System (NAICS) code & industry title(Required)221122 Electric Power Distribution Systems22130 Heating and AC Providers236210 Industrial Building Construction236220 Commercial and Institutional Building Construction237130 Power and Communication Line and Related Structures Construction237310 Land Subdivision238210 Electrical Contractors and Other Wiring Installation Contractors238220 Plumbing, Heating, and Air-Conditioning Contractors238330 Flooring Contractors238990 All Other Specialty Trade Contractors311812 Commercial Bakeries311991 Seeds, Snack Manufacturing313210 Broadwoven Fabric Mills314999 All Other Miscellaneous Textile Product Mills323111 Commercial Printing (except Screen and Books)323113 Commercial Screen Printing323117 Books Printing323120 Support Activities for Printing325120 Industrial Gas Manufacturing325412 Pharmaceutical Preparation Manufacturing325413 In-Vitro Diagnostic Substance Manufacturing325992 Photographic Film, Paper, Plate, and Chemical Manufacturing326199 All Other Plastics Product Manufacturing332311 Prefabricated Metal Building and Component Manufacturing333244 Printing Machinery & Equipment Manufacturing333318 Other Commercial and Service Industry Machinery Manufacturing334111 Electronic Computer Manufacturing334210 Telephone and Network Apparatus Manufacturing334290 Other Communications Equipment Manufacturing334510 Electromedical and Electrotherapeutic Apparatus Manufacturing334513 Instruments and Related Products Manufacturing for Measuring334516 Analytical Laboratory Instrument Manufacturing334519 Other Measuring and Controlling Device Manufacturing339112 Surgical and Medical Instrument Manufacturing423130 Tire and Tube Merchant Wholesalers423210 Furniture Merchant Wholesalers423410 Photographic Equipment and Supplies Merchant Wholesalers423420 Office Equipment Merchant Wholesalers423430 Computer and Computer Peripheral Equipment and Software Merchandise423450 Medical, Dental, and Hospital Equipment and Supplies Merchandise423490 Other Professional Equipment and Supplies Merchant Wholesale424110 Printing and Writing Paper Merchant Wholesalers424120 Stationery and Office Supplies Merchant Wholesalers442110 Furniture Stores451110 Sporting Goods Stores453210 Office Supplies and Stationery Stores453220 Gift, Novelty, and Souvenir Stores481111 Scheduled Passenger Air Transportation481112 Scheduled Freight Air Transportation484110 General Freight Trucking, Local484121 General Freight Trucking, Long-Distance, Truckload484122 General Freight Trucking, Long-Distance, Less Than Truckload484210 Used Household and Office Goods Moving484220 Specialized Freight (except Used Goods) Trucking, Local488510 Freight Transportation Arrangement492110 Couriers and Express Delivery Services493110 General Warehousing and Storage511110 Newspaper Publishers511120 Periodical Publishers511140 Directory and Mailing List Publishers511210 Software Publishers512110 Motion Picture and Video Production512240 Sound Recording Studios512290 Other Sound Recording Industries517110 Wired Telecommunications Carriers517210 Wireless Telecommunications Carriers (except Satellite)517410 Satellite Telecommunications517911 Telecommunications Resellers518210 Data Processing, Hosting, and Related Services519120 Libraries and Archives519130 Internet Publishing and Broadcasting and Web Search Portals519190 All Other Information Services522220 Sales Financing522298 All Other Nondepository Credit Intermediation524114 Direct Health Insurance Carrier524292 Third Party Administration of Insurance and Pension Funds531110 Lessors of Residential Buildings and Dwellings532490 Other Commercial and Industrial Machinery and Equipment Rent541110 Offices of Lawyers541211 Offices of Certified Public Accountants541219 Other Accounting Services541310 Architectural Services541330 Engineering Services541380 Testing Laboratories541430 Graphic Design Services541490 Other Specialized Design Services541511 Custom Computer Programming Services541512 Computer Systems Design Services541519 Other Computer Related Services541611 Administrative Management and General Management Consulting541612 Human Resources Consulting Services541613 Marketing Consulting Services541618 Other Management Consulting Services541690 Other Scientific and Technical Consulting Services541711 Research and Development in Biotechnology541712 Research and Development in the Physical, Engineering, and Laboratory541720 Research and Development in the Social Sciences and Humanities541810 Advertising Agencies541820 Public Relations Agencies541860 Direct Mail Advertising541910 Marketing Research and Public Opinion Polling541930 Translation and Interpretation Services541990 All Other Professional, Scientific, and Technical Services561311 Employment Placement Agencies561320 Temporary Help Services561410 Document Preparation Services561499 All Other Business Support Services561510 Travel Agencies561611 Investigation Services561622 Locksmiths561720 Janitorial Services561730 Landscaping Services561920 Convention and Trade Show Organizers561990 All Other Support Services562112 Hazardous Waste Collection611310 Colleges, Universities, and Professional Schools611420 Computer Training611430 Professional and Management Development Training611610 Fine Arts Schools611710 Educational Support Services621111 Offices of Physicians (except Mental Health Specialists)621112 Offices of Physicians, Mental Health Specialists621498 All Other Outpatient Care Centers621511 Medical Laboratories622110 General Medical and Surgical Hospitals623110 Nursing Care Facilities (Skilled Nursing Facilities)624210 Community Food Services711510 Independent Artists, Writers, and Performers712130 Zoos and Botanical Gardens721110 Hotels (except Casino Hotels) and Motels722310 Food Service Contractors722320 Caterers811212 Computer & Office Machine Repair811412 Appliance Repair and Maintenance812930 Parking Lots and Garages813110 Religious Organizations813212 Voluntary Health Organizations813312 Environment, Conservation and Wildlife Organizations813319 Other Social Advocacy Organizations813410 Civic and Social Organizations813920 Professional Organizations<923120 Administration of Public Health ProgramsHold the command key (Mac) or ctrl key (Windows) for multiple selections.Small-business classification; select all that apply(Required) Small business Small disadvantaged business (SDB) Women-owned small business (WOSB) Service-disabled veteran-owned small business (SDVOSB) Veteran-owned small business (VOSB) Historically underutilized business zone small business (HUBZone) Tribal or Alaska Native Corporation (ANC) Foreign entity - not applicable Technical areas; select all that apply Civil society Communication and social marketing Crisis response Cyber security Digital development Economic development Education Environment and climate action Gender Health Nutrition Proposal support Research Technology Training and business management Youth Geographical experienceAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsHold the command key (Mac) or ctrl key (Windows) for multiple selections.Donor agency experience; select all that apply U.S. Agency for International Development (USAID) U.S. Centers for Disease Control and Prevention (CDC) U.S. Department of Agriculture U.S. Department of Defense U.S. Department of Education U.S. Department of Health and Human Services U.S. Department of Labor U.S. Department of State Millennium Challenge Corporation UK Department for International Development Australian Department of Foreign Affairs and Trade Other If other, please specify:Have you worked with FHI 360 before?(Required) Yes No If yes, please provide additional information:Corporate capabilities narrative (limit to 150 words). Please use this space to describe your business’s capabilities and/or share any other relevant information not asked above.Attach a document (for example, capability statement, company profile, certification and/or any other relevant documentation)Accepted file types: pdf, doc, docx, ppt, pptx, Max. file size: 20 MB.Self-certification(Required) Under penalties of perjury, I certify that to the best of my knowledge the information provided is accurate and sufficient. UntitledFirst ChoiceSecond ChoiceThird ChoiceUntitledFirst ChoiceSecond ChoiceThird Choice
