BIFAD Stakeholder Database Opt-In Form

Connect with the Board for
International Food and Agricultural
Development (BIFAD)
OMB: 0412-0623
Expiration Date: 05/31/2026
Thank you for your interest in BIFAD. If you would like to receive updates on upcoming BIFAD
events and the latest BIFAD-supported reports and resources, please share your information
below.
BIFAD is committed to increasing diversity, equity, inclusion, and access in the board's
engagement and in global development more generally. This effort can be enhanced with
reliable information about our stakeholders. If you choose to respond to all or some of the
questions, information will remain confidential, with individual information not reported beyond
the project team.
Paperwork Reduction Act Statement:
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor
shall a person be subject to a penalty for failure to comply with a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information
displays a currently valid OMB Control Number. The OMB Control Number for this information
collection is 0412-0623. Public reporting for this collection of information is estimated to be
approximately one minute per response.
Fields with (*) denotes a required field.
* Required

1

First or Given Name: *

2

Family or Last Name: *

3

Professional or Work Email: *

4

Organization Name: *

5

Organization Type (select most relevant response below): *

U.S University
University outside of U.S
U.S. Agency for International Development 
Other U.S Government
Government non-U.S.
Non-U.S Donor Organization
Non Profit Organization
Firm
Publicly Traded Company
Independent Consultant

Other

6

For faculty, staff, and students of U.S universities only, is your university
identified as any of the following Minority Serving Institution Types?

Asian American and Pacific Islander Serving Institutions (AAPISIs)
Hispanic-Serving Institution (HSI)
Historically Black Colleges and Universities (HBCU)
Tribal Colleges and Universities (TCU)
No
I do not know

7

*
By selecting "YES" below, you are opting in to receive email communication from BIFAD
or the BIFAD Secretariat. You may opt out of future communications by contacting
[email protected] from your subscribed email, noting "unsubscribe" or "optout". Your information will not be shared outside of this purpose.
Thank you for signing up to receive occasional updates and opportunities to connect
with BIFAD. Please direct any questions about this form to: [email protected].

Yes

Thank You!

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