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Institution Name
*
Country
*
Please select an option
Nigeria
Kenya
Ghana
South Africa
City/Town/Locality
*
Sector/Category of Institution
Educational, environmental and local services (Schools, community colleges, special education needs provision, libraries, parks and recreation, municipal or cooperative housing, residents’ associations, utility infrastructure provider, town planning, traffic management, employment or job centres, etc.)
Cultural and creative organizations (Theatres, museums, dance studios, music groups, youth clubs, allotments, local newspapers and radio stations, arts centres, faith-based community projects, etc.)
Health, sport, and care (sports clubs, gyms, swimming pools, refuges, care homes, crisis helplines, therapy and listening services, adoption services, early years childcare, etc.)
Public Administration Systems (municipal offices and select government ministries)
Others (please specify)
If Other, please specify
Specify Type of Institution
*
Please explain in a few sentences how your organization serves your community
*
Year Established
*
Registration Number
*
Website / Online Presence
*
Company Email
*
Links to your organization's social media profile (if available)
Primary Contact Person (Full name)
*
Role / Designation
*
Email Address (Email) - Email must include organization’s domain
*
Phone Number (Telegram-enabled preferred)
*
Number of Employees
*
Is our organisation female led or owned? This does not impact your chances at participation
*
Please select an option
Yes
No
Estimated Number of People Served Annually. Please note that you will be asked to prove your declared number
*
Please select an option
Less than 5,000
5,000 – 10,000
10,000 – 30,000
30,000 – 50,000
50,000 and above
Please describe your end users/community members
*
0 / 200
How many individuals’ data does your organization hold or manage?
*
Please select an option
Less than 5,000
5,000 – 10,000
10,000 – 30,000
30,000 – 50,000
50,000 and above
Does your institution currently have an IT or cybersecurity team?
*
Please select an option
Yes, a dedicated team
Yes, but limited capacity
No, handled by an external provider
No IT or security support currently
Does your institution have existing cybersecurity tools or frameworks?
*
Please select an option
Yes (please specify below)
No
If yes, please specify the tools or frameworks currently in use
*
0 / 200
What are the key challenges your organization faces in improving its cybersecurity?
*
0 / 200
How do you expect this program to improve your organization’s cybersecurity readiness?
*
Will your institution commit staff time to participate in assessments, trainings, and follow-ups?
*
Please select an option
Yes
No
If selected, does your organization have a designated spokesperson who would be willing to participate in media interviews, speaking opportunities, and other information-sharing sessions regarding this program and its impact?
*
Please select an option
Yes
No
Please share documents that highlight the impact and/or value of your work. This can include institutional profile/brochure, articles, media coverage, internal impact reports, etc.
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I confirm that the information provided in this application is true and accurate to the best of my knowledge. I understand that participation in the Resilio Africa project is voluntary, and that Cybersafe Foundation reserves the right to select participating institutions based on eligibility and capacity criteria.
*
I agree to the terms and consent to be contacted regarding this application
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