Community Profile

Help us understand your community and its water access challenges by completing this Community Profile.

The information you provide will help us better understand your community’s needs, current water situation, and potential opportunities to work together.

This is not an application or assessment, it’s simply a way to share information and start a conversation.

First Name

Last Name

Email Address

Phone / WhatsApp

Website and/or social media links

Organisation name

Registration Number

Address / City / Province / Zip

Name of community where the project would take place

Population

Average Distance to water source

Approximate time spent to collect and transport water including queuing

Approximate age range of primary water collectors

Under 25 26-40 41-60 Over 60

Briefly describe the community that will benefit from EcoRollers (75-125 words)

Who will coordinate EcoRoller distribution locally?

Do you have the staff available?

Additional comments that would be helpful

Thank you for completing the EcoRoller Scaling Project – Community Profile.
Your information has been received. We’ll be in touch to continue the conversation.