The Global Risk Census Institutional collaboration connection Thank you Institutional collaboration connection You have reached this page because you have shown interest in, or confirmed your intention to collaborate with The Global Risk Census on behalf of your organization. « » The information you provide on this page will, based on your selections, lead to an additional discussion or to the draft of a Memorandum of Understanding. « » Finally, and importantly, though web forms are a very useful means of requesting information, this level of collaboration, we feel, deserves human interaction. As such, we look forward to a virtual or in-person meeting, when appropriate, to better develop a useful partnership between yourselves and The Global Risk Census. Main Census Contact Please select oneCemil 'Jim' AlyanakDaniel KrewskiGreg PaoliFranco MomoliAnne WilesJennifer GoOne of our Board Members: Main Census Contact WHO HAS BEEN YOUR PRINCIPAL CONTACT AT THE GLOBAL RISK CENSUS? We are currently at the following phase: Our organization is interested in collaborating with The Global Risk Census and wishes to establish an MOU based on our selections below. Our organization has previously contacted The Global Risk Census and, as agreed, is providing additional information. This is our first contact and we are exploring collaboration options. OtherOther Prior to committing to collaboration and an MOU (Memorandum of Understanding), The Global Risk Census asks that at least one of our prospective partner's representatives have completed The Main Questionnaire of The Global Risk Census. If you have not done so, and you are ready to advance to the MOU phase, please participate in the Census first. Once you have done so, please come back to this page and continue.Thank you. A representative of our organization has completed the Main Questionnaire of The Global Risk Census. * I confirm Some items below are pre-checked for convenience. Please read them all and check or uncheck as per your organization's interest or commitment. "We are interested in The Global Risk Census to primarily:" Help promote the importance of risk awareness and mitigation to our stakeholders Associate our organization with risk awareness and mitigation Use Census findings to influence policy Inform our own policy priorities Contribute to the study of risk science Formally endorse The Global Risk Census and its value to more informed decision-making worldwide Provide ongoing media coverage of the Census Contribute funding or sponsorship to the Census OtherOther PLEASE READ CAREFULLY AND CHECK OR UNCHECK ALL THAT APPLY. "We anticipate receiving the following from The Global Risk Census:" Our logo and short organizational description will appear in the partner section of riskcensus.org Our logo will appear on the home page of riskcensus.org Assistance in conceiving or writing a Specialized Questionnaire to be filled by our constiutents exclusively Exported (anonymized) data results of our Specialized Questionnaire A seat on the organizing committee of The Global Risk Leadership Roundtable An option to have priority when Board seats become available OtherOther PLEASE READ CAREFULLY AND CHECK OR UNCHECK ALL THAT APPLY. Regarding a specialized questionnaire reserved for your constituents exclusively: We are interested in producing and disseminating a specialized questionnaire for our constituents We have not yet decided if we would like to produce a specialized questionnaire We are NOT interested in producing and disseminating a specialized questionnaire for our constituents PLEASE REMEMBER THAT AS WITH ALL OTHER ASPECTS OF THE PROJECT, THERE IS ZERO COST ASSOCIATED WITH COLLABORATING, PRODUCING OR DISSEMINATING THE SPECIALIZED QUESTIONNAIRE. "We are interested in providing the following support to The Global Risk Census:" Messaging and encouraging our stakeholders and/or constituents to participate in The Global Risk Census Placing The Global Risk Census logo and links on our website Publishing one (or more) stories about The Global Risk Census on our platform(s) Providing thematic expertise in our field of work to continually improve the questions of The Main Questionnaire Assigning one or more contacts (as per below) for all Census communications If relevant and timely, inviting a Census representative to (in-person or virtually) introduce the Census to our organization OtherOther PLEASE READ CAREFULLY AND CHECK OR UNCHECK ALL THAT APPLY. Possible additional forms of collaboration IF RELEVANT, LET US KNOW IF THERE ARE OTHER WAYS IN WHICH YOU FEEL WE CAN COLLABORATE ON THE GLOBAL RISK CENSUS. Organization: * FULL LEGAL NAME OF THE ORGANIZATION ON WHOSE BEHALF YOU ARE ACTING TODAY Type of organization: Civil society organization incl. associations, federations, unions, non-governmental organizations Funding organization including foundations, donor agencies, corporate social responsibility entities Academia including universities, colleges, research bodies Government entity including local authority, regional or national Multilateral organization composed of member states Private corporation Public corporation OtherOther IF APPLICABLE, YOU MAY CHOOSE TWO OPTIONS. Legal address of the organization * Legal address of the organization Legal address of the organization Legal address of the organization City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Authorized contacts The following are authorized to collaborate with The Global Risk Census on behalf of our organization.If necessary, you may add more than one.Please note that all those entered below will receive a copy of this form via email upon submission. Name * Name First First Last Last Role or title in the organization Email address * Best telephone number plus1 Add minus1 Remove Logo Upload your logo Choose File Maximum file size: 5MB IF READY, YOU MAY UPLOAD YOUR ORGANIZATION'S LOGO NOW (PNG WITH TRANSPARENCY ONLY - IDEAL WIDTH ≥ 1024 PIXELS). OTHERWISE, YOU MAY SEND IT SEPARATELY TO SECRETARIAT@RISKCENSUS.ORG. Additional message (optional) IF YOU NEED TO ADD ANY INFORMATION NOT INCLUDED ABOVE, FEEL FREE TO DO SO HERE. Authorization Signature * signature keyboard Clear By signing, you are simply declaring that you are authorized by your organization to enter into formal partnerships on its behalf. Date * Today's date reCAPTCHA If you are human, leave this field blank. Submit Δ
