Form

Before starting on your application, please review A Guide to Kiva for Potential Non-MFI Partners and the due diligence information found below. After reviewing this information, please fill out the form below and attach the requested documents. One of the required documents is a partnership proposal, for which you can download and use this template . If you encounter any technical problems with using this form, please email contactus@kiva.org with the subject line "Strategic Initiatives Team Jotform Application Error Message." After the application has been submitted, you will be contacted by a member of the Strategic Initiatives team to discuss next steps. Thank you for your interest in Kiva!

Due Diligence Information

Kiva partners with a range of organizations, including microfinance organizations (MFIs), social businesses, schools and non-profit organizations. These organizations are united by a common commitment to serve the needs of people at the bottom of the pyramid, either through financial services, or by using credit to help expand access to pro-poor products and services.

Because our partners have a range of financial needs, we have developed a tiered due diligence structure to accommodate organizations' needs. At one end of the spectrum we spend time on-site and conduct an in-depth financial analysis before bringing on a partner - this represents our full due diligence process. At the other end of the spectrum, we allow partners to use Kiva experimentally, at small dollar amounts, before we mutually agree to scale up. For these partners, we do not know their situation in depth, but we still trust their social mission and intentions. Here is a look at the three tiers of partnership available to organizations:

Full Due Diligence : Partners with a full due diligence designation are able to raise large dollar amounts on the Kiva website, with credit lines of up to $2,000,000. These partnerships are reviewed and approved on a case-by-case basis by Kiva’s Investment Committee. Full Due Diligence partners will also have an onsite visit by Kiva portfolio staff.

Basic Due Diligence : Partners with a basic due diligence designation are able to raise mid-sized dollar amounts on the Kiva website, with credit lines of up to $200,000. These partnerships are reviewed and approved on a case-by-case basis by Kiva's Investment Committee.

Experimental Partnership : Partners with an experimental designation are able to raise small dollar amounts on the Kiva website, with credit lines of up to $20,000. These partnerships are not reviewed by Kiva’s Investment committee, and little due diligence is conducted. This partnership option is not available to Microfinance Institutions (MFIs) or other organizations whose core activity (current or proposed) is general microlending.

This tiered partnership structure allows Kiva to accommodate a range of organizations, and to conduct up-front due diligence efforts that are commensurate with the financial needs of our partners.   As the financial needs of an organization grow, so too can their exposure with Kiva. We encourage "upward mobility" in our partnership structure, and we invest resources in helping organizations grow through our tiered due diligence process.

* indicates required field

Organization name*

What type of partnership are you interested in applying for at this time?*

Full Due Diligence Basic Due Diligence Experimental Partnership

In which country or countries are you planning to use Kiva funds?*

Contact Full Name*

First Name Last Name

Contact E-mail*

Contact Phone Number*

Contact Skype ID*

Address*

Website*

Please write a brief description of the organization and your service/product*

When did your organization begin operating?*

Is your organization legally registered in its country of operation? If so, what is your organization’s legal status?*

Kiva staff can support communications in English, Spanish, and French. What is your preferred language for communication?

English Spanish French

Does your organization agree to get borrower consent (in the form of a signed Client Waiver) before posting borrowers’ information to the Kiva website?

Yes No

Check the impact area that best characterizes your work*

Innovative Agriculture Health Fair Trade Education Water and Sanitation Mobile Money and ICT Clean Energy Other

What is the problem you are trying to solve?*

Who is your primary target population and why do you work with them?*

Why do you work in this specific country or region?*

Do you currently have a loan program? If so, what are the loans for? How many loans have you issued? Over what period?*

How do you measure impact? What has your impact been?*

What is the specific use you see for Kiva financing at your organization?*

How are your operations currently being financed?*

How would Kiva financing help your organization achieve greater impact?*

Please draft a sample loan profile with information about a representative borrower.*

How would you explain this sample Kiva loan to a prospective borrower? Please include information about the terms of the loan & what the borrower is responsible for, in language that he/she would understand.

What other organizations do you work with? Who can recommend your organization? Have you received any awards or notable press? Is there any other information you want to tell our lender base about your organization?

How did you learn about Kiva?

Create a user name for our partner administrative site.*

Create a password for our partner administrative site.*

We ask that you submit a number of forms to help our Portfolio Managers consider your application.

The following documentation is required :

· Most recent financial statements (audited or unaudited)

· Legal registration

· List of names and titles of senior management and board of directors

· Partnership proposal (please download this template and use it to help develop your proposal)

The following materials are optional but recommended :

· Annual report/business plan

· Information on current loan portfolio (gross, max. loan amount, # of borrowers, description of products, interest rates)

Financials*

Legal Registration*

Senior Management and Board of Directors Information*

Partnership Proposal*

Annual Report/Business Plan

Current Loan Portfolio Information Sheet

The information gathered on this application is for Kiva internal use only and will not be shared with third parties. Would you prefer to sign a nondisclosure agreement? You can learn more about our current privacy policy at www.kiva.org/legal/privacy*

Yes No

By submitting this application you are agreeing to the Kiva terms of use. Full terms of use can be viewed at:

http://www.kiva.org/legal/terms

Upon submitting your Non-MFI Application please email Labs@kiva.org to confirm receipt of the documents

Kiva Non-MFI Partnership Application

Basic Information

Organizational Information

Why Kiva? Why Now?

Sample Loan Profile

Additional Information

Documentation