The Global Risk Census Institutional collaboration connection Thank you Confirmation de contact 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. Motivation du contact 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 AutreAutre De quoi aimeriez-vous discuter ? Choisissez tout ce qui s'applique. "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. Votre organisation : * L'organisation au nom de laquelle vous nous contactez aujourd'hui 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 AfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolieAnguillaAntartiqueAntigua and BarbudaArabie SaouditeArgentineArménieArubaAustralieAustralierAzerbaijanBahamasBahreïnBarbade (la)BelarusBelgiqueBelizeBengladeshBeninBermudeBhoutanBolivieBonaire, Saint-Eustache et SabaBosnie et HerzegovieBotswanaBruneiBrésilBulgarieBurkina FasoBurundiCambodgeCamerounCanadaCap vertChileChineChypreCité du VaticanColombieComoresCongoCorée du NordCorée du sudCosta RicaCroatieCubaCuraçaoCôte d’IvoireDanemarqueDjiboutiDominiqueEspagneEstonieFidjiFinlandeFranceGabonGambieGhanaGibraltarGrenadeGroenlandGrèceGuadeloupeGuamGuatemalaGuerneseyGuinéeGuinée BissauGuinée ÉquatorialeGuyaneGuyane FrançaiseGéorgieGéorgie du Sud et îles Sandwich du SudHaitiHondurasHong KongHongrieIles Falkland (Malouines)IndeIndonésieIranIraqIrlandeIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKeniaKirghizistanKiribatiKosovoKoweitLa RéunionLaosLesothoLettonieLibanLibyeLibériaLiechtensteinLituanieLuxembourgMacaoMacédoineMadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicronésieMoldavieMonacoMongolieMontserratMonténégroMozambiqueMyanmarNamibieNauruNepalNicaraguaNigerNigeriaNiueNorvègeNouvelle ZélandeNouvelle-CalédonieOmanOugandaOuzbékistanPakistanPalauPalestinePanamaPapouasie-Nouvelle-GuinéeParaguayPays-basPhilippinesPitcairnPolognePolynésie FrançaisePortugalPuerto RicoPérouQatarRoumanieRouwandaRoyaume-UniRussieRépublique DominicaineRépublique TchèqueRépublique centrafricaineSahara occidentalSaint BarthelemySaint Pierre et MiquelonSaint Vincent et les GrenadinesSaint-Christophe-et-NiévèsSaint-Martin (partie française)Saint-SiègeSainte-Hélène, Ascension et Tristan de CunhaSalvador (le)SamoaSan MarinoSante LucieSao Tome and PrincipeSenegalSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlovénieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSuèdeSvalbard et Jan MayenSwazilandSyrieTadjikistanTaiwanTanzanieTchadTerres Australes FrançaisesTerritoires britanniques de l’océan IndienThaïlandeTimor orientalTimor-OrientalTogoTokélaouTongaTrinité et TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVietnamVénézuélaWallis et FutunaYémenZambieZimbabweÉgypteÉmirats Arabes UnisÉquateurÉrythrée (l’)États-UnisÉthiopieÎle BouvetÎle ChristmasÎle MauriceÎle NorfolkÎle de ManÎles CaïmansÎles CocosÎles CookÎles FalklandÎles FéroéÎles Heard-et-MacDonaldÎles Mariannes du NordÎles MarshallÎles SalomonÎles Samoa AméricainesÎles Turques et CaïquesÎles Vierges britanniquesÎles Vierges des États-UnisÎles mineures américaines 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. Votre nom : * Votre nom : First First Last Last Role or title in the organization Votre adresse électronique * Best telephone number plus1 Add minus1 Remove Logo Upload your logo Choose File Taille de fichier maximale : 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. Un message (facultatif) Si vous le souhaitez, veuillez fournir une brève description des raisons pour lesquelles vous souhaitez être contacté. 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 Si vous êtes un humain, ne remplissez pas ce champ. Soumettre Δ
