Eco Femme screening form

Eco Femme partners with NGOs and other organisations to provide cloth pads and deliver educational programmes that foster a healthy, responsible and dignified menstrual experience for women and girls throughout India. Pads can be supplied in bulk in a number of different ways:

Freely to economically-disadvantaged adolescent girls via our pad for pad programme (sponsored by international customers)
Subsidised for NGOs and individuals to reach economically-disadvantaged women
Bulk rate discount for CSR funding and for foundations

We are committed to making sure that price does not become an obstacle and that free gifting, subsidies or discounts are offered based on genuine need. In order to help us evaluate your eligibility, we request you to fill in this screening form, return it to us, and we will be in touch shortly with a reply.

Name

Organisation name

Your position within the organisation

Organisation website

Organisation address

Anything else you would like to mention in regard to your becoming a volunteer or intern at Eco Femme?

Your contact phone number

Is your organisation Non-Profit? (Yes/No)

Yes No

If Yes to the above question, please provide your organisation's status and registration number

In a few words, explain how you came to hear of Eco Femme and why you are interested in acquiring Eco Femme pads

How many pads would you initially be interested in having?

Have you or someone in your organisation already used Eco Femme cloth pads? We strongly recommend that the person introducing cloth pads to your organisation either tries it herself or conducts some trials in small groups. Please let us know if this is a possibility.

Who will be receiving the pads? Please describe/provide some demographic information the intended target group of pad users e.g. urban, semi urban or rural, age ranges, types of livelihood they are engaged in etc.

What is your distribution strategy? How do you propose to reach out to the girls or women that you are working with? What, if any, is the current engagement of your organisation with this target group?

Please indicate which of the options below would be of most interest to you in regard to funding and/or supply of pads to your target group:

a) Freely provided to economically-disadvantaged adolescent girls via our pad for pad programme (sponsored by our international customers) b) Subsidised for NGO's to reach economically-disadvantaged women – sponsored by organisation or outside donors c) Subsidised for NGO's to be sold on by SHG members as a retail entrepreneurial activity d) Bulk rate discount for CSR funding or for foundations who will pay for the pads Other

Eco Femme screening form

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