Global Partner Application If you can not see the form below, or are having issues using it, please click here. Global Partnership Application Name of Organization Name of Contact Person Contact Email Address (internal use only) Mailing Address Address Line 2 City CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe State/Province Postal Code Phone Organization Email Address (to be published in Resource Directory for public viewing) Fax Organization Website URL Organization Description How would you identify yourself as an organization (nonprofit, NGO, etc.) ? Mission of Your Organization Please provide a summary of the services you offer, including awareness initiatives, support groups, etc. We are looking for Global Partners to participate in and help promote OCD Awareness Week internationally, which takes place annually during the second week of October - visit www.iocdf.org/programs/ocdweek for more details. What type of awareness/advocacy activities and events are you interested in doing? Our website contains many handouts and brochures. Would you be willing to assist in translation for these materials?YesNo As a Global Partner, we ask that you post our Official Global Partner Badge that links to our main website (www.iocdf.org) on your website. Are you willing to post this Global Partner Badge and URL link? In return, your organization's contact and website link would be listed on the Global Partners page of our website. Do you agree to these reciprocal links?YesNo Additionally, as a Global Partner, your organization would have a listing in our Resource Directory – a comprehensive search tool including therapists, support groups, local US affiliates, and Global Partners, searchable by geographic location. Please download and sign this document and upload a scan in the form below. Please upload your signed agreement here For any questions regarding Global Partnership, please contact Jeff Szymanski at email@example.com. Need assistance with this form?