Template No.: T291
Template Title: Partnership Risk & Values Alignment Assessment Form
Related Research Case IDs / Cluster: _______
Linked Templates / Policies: _______________
Date of form: ____ / ____ / ______
Prepared by / Role: _______________________
Office / Unit: ____________________________
Country / Location: _______________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only
T291 – Partnership Risk & Values Alignment Assessment Form
Purpose:
Use this form to check if a partner’s values and behaviour match HSWAGATA’s mission. This is a deep check before we sign any MoU, accept money, or do joint activities.
Rule:
This form is for risk control, not for rumours. Write facts and sources. Do not accuse. Check and record evidence.
A) Partnership request summary
Partner / organisation name: __________________________________________
Partner type (tick): Government [ ] Saṅgha/Temple [ ] University [ ] NGO [ ] Company [ ] Donor group [ ] Media [ ] Other: ______
Main contact person (name/role): _____________________________________
Contact details: ____________________________________________________
Proposed partnership activity (what they want to do):
Proposed duration: One-time [ ] 6–12 months [ ] 1–3 years [ ] Other: ______
Proposed support (tick): Funding [ ] Training [ ] Research [ ] Exhibition [ ] Security [ ] Facilities [ ] Public event [ ] Other: ______
HSWAGATA lead / focal person: ______________________________________
B) Values alignment (values)
B1. Core values checklist (tick + short note)
Tick: Aligned [ ] Not aligned [ ] Unknown [ ] for each item.
| Value area | Aligned / Not / Unknown | Notes (evidence or concern) |
|---|---|---|
| Non-violence and respect (no hate, no threats) | ☐A ☐N ☐U | |
| Honesty and transparency (truthful public statements) | ☐A ☐N ☐U | |
| Anti-corruption (no bribery, no hidden payments) | ☐A ☐N ☐U | |
| Respect for sacred heritage (no misuse of relics/symbols) | ☐A ☐N ☐U | |
| Respect for different faiths/cultures (no superiority talk) | ☐A ☐N ☐U | |
| Safeguarding (protect children and vulnerable people) | ☐A ☐N ☐U | |
| Fairness and inclusion (no discrimination in actions) | ☐A ☐N ☐U | |
| Environmental care (if project affects sites/materials) | ☐A ☐N ☐U |
B2. Partner’s stated values (copy short phrases, not long quotes):
From website/charter: ______________________________________________
From meetings/letters: _____________________________________________
B3. Values match (circle one): Strong / Medium / Weak
Reason (2–4 lines): _________________________________________________
C) Past behaviour and track record (past behaviour)
C1. Past work with heritage / religion / education (list 1–5 examples):
___________________________________ Year: ______ Result: __________
___________________________________ Year: ______ Result: __________
___________________________________ Year: ______ Result: __________
C2. Past problems (tick if known)
Misuse of funds [ ] Harassment/bullying [ ] Discrimination [ ]
Unsafe work practices [ ] Cultural/religious offence [ ]
Misinformation / miracle marketing [ ] Political misuse [ ]
Breach of agreement / MoU failure [ ] Other: __________________ [ ]
Details (facts + source): ______________________________________________
C3. Reference checks (recommended)
Reference 1 (org/person/role): ____________________ Result: Positive [ ] Mixed [ ] Negative [ ]
Reference 2 (org/person/role): ____________________ Result: Positive [ ] Mixed [ ] Negative [ ]
Notes: ______________________________________________________________
D) Public record and due diligence (public record)
D1. Public record check (tick what was done)
Website review [ ]
Media/news search (key words + date range): __________________________ [ ]
Public reports / annual reports reviewed [ ]
Legal registration verified (where relevant) [ ]
Litigation/complaints known (where relevant) [ ]
Sanctions/blacklist checks (where legal/appropriate) [ ]
Social media review (high risk only) [ ]
Financial statements reviewed (if money involved) [ ]
D2. Findings summary (facts only, 3–8 lines):
D3. Evidence attached (tick):
Screenshots [ ] Links list [ ] Reports [ ] Meeting notes [ ] Financial documents [ ] Other: ______
E) Red flags and risk rating (red flags)
E1. Red flags list (tick if seen)
Wants secrecy / “no paper trail” [ ]
Wants special access to relics or restricted spaces [ ]
Pressure for fast decision / bypassing approval [ ]
Political branding / campaign-style use [ ]
Claims of “miracles” for marketing or fundraising [ ]
History of conflict, threats, or hate speech [ ]
Unclear funding source / cash-only offers [ ]
Requests that may harm safeguarding or privacy [ ]
Past partnership ended badly or with disputes [ ]
Staff feel unsafe working with partner [ ]
Other: ______________________________________________ [ ]
Details (what, when, source): _________________________________________
E2. Overall risk level (circle one): Low / Medium / High / Critical
Reason (2–4 lines): _________________________________________________
F) Risk controls and safeguards (what we require)
Tick controls you will apply if partnership goes ahead:
Governance controls
Written MoU/contract with clear roles and limits [ ]
Decision recorded in minutes and stored [ ]
Conflict of interest declarations (both sides) [ ]
Clear budget, approvals, and receipts [ ]
Safeguarding and ethics
Code of conduct applies to partner staff on-site [ ]
Safeguarding briefing before activities [ ]
No harassment / no discrimination rule stated in writing [ ]
Relic and site protection
No direct access to relics without written authorisation [ ]
Photography/media rules written [ ]
Security plan for events and visits [ ]
Communication controls
Shared public message agreed in advance [ ]
No “miracle” marketing; no misinformation [ ]
Media spokesperson named [ ]
Safeguard notes (short): ______________________________________________
G) Decision
Decision (tick one):
Approve [ ]
Approve with conditions [ ]
Defer (need more checks) [ ]
Reject [ ]
Conditions (if “approve with conditions”):
If deferred: what is missing and who will do it?
If rejected: short reason (facts only):
H) Sign-off
Prepared by: _______________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Partnerships/Legal/Admin): __________________ Signature: ______________ Date: ____ / ____ / ______
Reviewed by (Ethics/Safeguarding/Security if needed): __________ Signature: ______________ Date: ____ / ____ / ______
Approved by (ED/Board if required): _____________________ Signature: ______________ Date: ____ / ____ / ______
Archive
File code: _______________________
Digital folder path: __________________________________________
Next review date (if ongoing partnership): ____ / ____ / ______