PARTNERSHIP APPLICATION FORM Thank you for your interest in becoming a Global Footprint Network Partner. Before filling out this application, please visit our Become a Partner page on our Web site www.footprintnetwork.org, and read through the information on that page, as well as the PDF “Partnership Details” – available in the Related Links box of that site, and the partnership agreement. Once you have read through the benefits and responsibilities of partnership - including financial costs – please fill out the application below (electronic only, please) and email it to partner@footprintnetwork.org, along with a signed copy of the partnership agreement document. We review applications monthly and typical turnaround time is 2 -3 weeks. If for some reason you do not hear from us after three weeks, you can inquire as to the status of your application at partner@footprintnetwork.org. Organization Contact Details Name of Org/Company Mailing Address: Web site URL General Phone #: General Fax #: Primary Partnership Contact Name and Title: Mailing Address: (if different from above) Email Address: Personal Phone #: Primary Billing Contact Name and Title: Mailing Address: (if different from above) Email Address: Personal Phone #: Other Relevant Contacts Name and Title: Email address: How would they be involved in this partnership? About your organization Name of Org/Company Category (highlight one): Please describe what your organization does in 2-3 sentences. What is your mission/purpose? What are your core competencies? Who is your primary audience? What is your annual turnover? (in € Euros) Number of employees, globally (if more than one office, please specify main locations) Academic institution; NGO; local/regional government; national government; Ecological Footprint consultancy; other consultancy, corporation; other: __________________ Your interest in the Ecological Footprint Has your organization used the Ecological Footprint in its work? ___ YES, for (highlight one): 0-2 years; 3-5 years; 5+ years If YES: Please describe the main focus of your use/application of the Ecological Footprint If NO: Do you have plans for using the Ecological Footprint more in the future? If yes, please describe how and why. (e.g.; technical tool, applications, communications tool, advocacy tool, personal behavior change, etc.) Staff Profile Please describe the technical background of your staff – engineering, ecology, CS skills, etc. -- if any. Does your current staff have Ecological Footprint accounting experience? If yes, please specify the number of staff with Ecological Footprint experience and the period of time each staff has been engaged in Ecological Footprint accounting work.. If yes above: Briefly describe the technical specialties/focus of staff with Ecological Footprint experience. Has any of your staff attended a formal, Ecological Footprint technical training? If yes above: Briefly list the dates and locations of the training(s), and the provider of the training. ____ NO If your organization : Is a consultancy with experience in Ecological Footprint Accounting, or Wishes to develop the technical capacity to do Ecological Footprint Accounting and Consulting, Please fill in the following section. If not, please skip to “on Becoming a Partner” YOUR EXPERIENCE WITH THE ECOLOGICAL FOOTPRINT (for consultancies): This information will allow us to better serve our partners who are experienced in, or desire to develop technical Ecological Footprint accounting competency. Technical work with the Ecological Footprint Has your organization completed paid Ecological Footprint applications work for external clients? If yes: Please provide 3 examples of your consultancy’s Ecological Footprint applications work. (e.g.; city or regional Ecological Footprint assessments, Ecological Footprints for corporations (operations/buildings/products), Ecological Footprint assessments for governmental organizations; Ecological Footprint software/calculator tools) If no: Please indicate which areas of technical Ecological Footprint expertise your consultancy would like to develop. ___ YES, for (highlight one): 0-2 years; 3-5 years; 5+ years ____ NO For consultancies with experience in Ecological Footprint accounting: Are there further technical aspects of the Ecological Footprint that you would like to build expertise in? If yes, please describe. Ecological Footprint Tools and Trainings If your consultancy has developed specialized Ecological Footprint accounting tools, please describe them briefly. If no, are you hoping to develop tools in the future? Please describe. If your consultancy has developed specialized Ecological Footprint trainings, please describe them briefly. On Becoming a Partner (for all applicants) How did you hear about us? Why does your organization wish to become a Global Footprint Network Partner? What are the three main benefits you hope to achieve/derive from joining? What skills, knowledge, and commitment can your staff bring to the Partner Network community? Partnership Commitments 1. Please review the partnership fee schedule at the end of this document. In the box to the right, indicate the appropriate annual fee for your organization this year: ______Euros Partnership Agreement 2. Please initial the box to the right to confirm that you have read and signed the Partnership Agreement document. Initial here: Footprint Forum 3. We strive to make Footprint Forum (www.footprintforum.org), our online partner community, an active, collaborative and dynamic resource for all our partners. This requires input and participation from all members of the Partner Network. We encourage partners to engage in and start discussions with other partners and use the community as a resource for posting and finding Footprint reports, announcements, news releases, and other links and resources related to your work with the Footprint/addressing ecological Overshoot. Initial here: We specifically ask that partners create (and update) profiles for themselves, invite others in their organization to join the community, and post at least one report a year (if relevant reports are produced), as well as and write blog entries, forum posts or emails to the community a few times a year on the work that is being done by each partner. This ensures useful and up-to-date content that benefits all partners and highlights the important work and progress we are making as a community. Please initial the box on the right if someone from your organization is willing to contribute to Footprint Forum at least a few times a year. 4. Your partnership distinguishes you as a leader in advancing the science of sustainability through the Ecological Footprint. To that end, we would like to display your logo on the partners section of our Web site and to refer to your organization as a partner of the Global Footprint Network. Please forward your logo to us as a JPEG or GIF file with high-resolution, 100px by 100px maximum dimensions, and a white or transparent background along with instructions, if any, about how it should be displayed. In addition, please provide a maximum 35-word description of your organization. Additional Comments or Questions THANK YOU! Your Application Is Now Complete Please save it as “Your Organization Name Partner Application” (e.g.: “WWF Partner Application.doc”) and email to partner@footprintnetwork.org GLOBAL FOOTPRINT NETWORK ANNUAL PARTNERSHIP CONTRIBUTION SCHEDULE (as of May 1 st, 2009) Participating Partners Academic Institutions (annual project budget for Footprint applications in Euros) Less than 20,000 20,000 to 50,000 50,000 to 100,000 100,000 to 250,000 250,000 to 500,000 over 500,000 €600 €1,400 €4,800 €8,400 €12,000 €14,000 Consultancies (annual turnover in Euros) The Consultancy category refers to consulting firms that conduct or wish to conduct Footprint analyses for client organizations. They tend to have multiple clients and operate on a fee-for-service basis. Less than 750,000 750,000 to 1 million 1 million to 5 million 5 million to 10 million 10 million to 100 million 100 million to 1 billion over 1 billion €1,000 €1,200 €2,600 €7,800 €10,500 €21,000 €33,000 Corporations (annual turnover in Euros) less than 2 million 2 million to 10 million 10 million to 100 million 100 million to 1 billion 1 billion to 10 billion 10 billion to 50 billion over 50 billion €1,950 €4,550 €10,000 €12,500 €16,250 €22,100 €32,500 Government Organizations (annual project budget for Footprint applications in Euros) less than 20,000 20,000 to 50,000 50,000 to 100,000 100,000 to 250,000 250,000 to 500,000 over 500,000 €750 €3,900 €5,200 €8,125 €11,375 €16,900 Social Benefit Organizations (NGOs/non-profit - annual turnover in Euros) less than 100,000 100,000 to 500,000 500,000 to 1 million 1 million to 5 million 5 million to 10 million 10 million to 50 million over 50 million €600 €900 €2,000 €3,600 €5,400 €9,600 €12,000