World Movement for Democracy in Middle East and North Africa
Participants Database Information Form
If you wish to post information about your organization's activities, please complete the form below and return it to us by fax (+1-202-223-6042).
World Movement for Democracy Participants Database Information Form
Please check one of the following :
_______ Please include information about my organization in the World Movement database.
_______ Please DO NOT include any information about my organization in the World Movement database.
_______ Please DO NOT include information about my organization in the World Movement database, but include my organization in all e-mail communications of the World Movement.
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I. Organizational Information
Name of Organization: _____________________________________________________________
Address: __________________________________________________________________________
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Phone: ________________________________ Fax: _____________________________________
E-mail: ___________________________ Web site: ____________________________________
Contact Person/Title: _____________________________________________________________
Please indicate any information that may pose a risk to your organization or staff and that you DO NOT want included in the database.
_______________________________________________________________________________
II. Topical Focus
Please check areas of democracy work in which your organization is active:
__Political Parties and Political Leadership
__Civil Society Strengthening
__Civic Education
__Media and Freedom of Expression
__Transparency and Anti-Corruption
__Elections
__Decentralization and Local Government
__Legislative Development and Assistance
__Rule of Law
__Human Rights
__Conflict Resolution
__Labor Unions and Worker Rights
__Economic Reform and the Business Sector
__Women's Issues
__Political and Civic Participation of Youth
__Anti-Narcotics/Organized Crime
__Other (Please specify: _____________________)
III. Mission Statement
Please provide your organization's mission statement in 2-3 sentences.
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IV. Geographical Area of Focus
Please indicate the area(s) that your organization works in.
__ Country Specific (Which country? ______________________________)
__ Regional Focus (Which region? ________________________________)
__ Global Focus
V. Type of Activity
Please check the types of activity that your organization conducts.
__ Research
__ Publication
__ Training
__ Advocacy
__ Election monitoring
__ Human rights monitoring
__ Regularly schedule events, such as conferences and workshop series
__ Other (Please specify: ___________________ )
VI. Current Project
A section of the website will highlight current projects of network organizations. The object will be to share ideas and to coordinate projects to minimize the duplication of efforts. Please describe a current activity/project of your organization. (If you have more than one project about which you would like to share information, please use additional sheets of paper.)
Project Title: _________________________________________________________________
Objective: _____________________________________________________________________
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Project Duration: ______________________________________________________________
Collaborating Institution(s): __________________________________________________
Brief Project Description: ____________________________________________________
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VII. Publications
Please list your publications, such as newsletters, journals, book series, handbooks, and manuals, produced by your organization.
Title of publication: _______________________________________________________
Subjects (Please check those subjects that the publication covers.)
__Political Parties and Political Leadership
__Civil Society Strengthening
__Civic Education
__Media and Freedom of Expression
__Transparency and Anti- Corruption
__Elections
__Decentralization and Local Government
__Legislative Development and Assistance
__Rule of Law
__Human Rights
__Conflict Resolution
__Labor Unions and Worker Rights
__Economic Reform and the Business Sector
__Women's Issues
__Political and Civic Participation of Youth
__Anti-Narcotics/Organized Crime
__Other (Please specify: _____________________)
Is this publication available online? __Yes __No
If yes, Web site address: ___________________________________________________
Title of publication: ___________________________________________________
Subjects (Please check those subjects that the publication covers.)
__Political Parties and Political Leadership
__Civil Society Strengthening
__Civic Education
__Media and Freedom of Expression
__Transparency and Anti- Corruption
__Elections
__Decentralization and Local Government
__Legislative Development and Assistance
__Rule of Law
__Human Rightsbr>
__Conflict Resolution
__Labor Unions and Worker Rights
__Economic Reform and the Business Sector
__Women's Issues
__Political and Civic Participation of Youth
__Anti-Narcotics/Organized Crime
__Other (Please specify: _____________________)
Is this publication available online? __Yes __No
If yes, Web site address is:_______________________________________________
VIII. Training/Conferences/Events
Please indicate below any information about upcoming training, conferences, or events that you would like to share with others. Please indicate the name of the event, the date, a brief description (2-3 sentences), and contact information, including Web site address if information is available online.
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IX. Comments/Suggestions
Your comments and suggestions will help us to develop the participants database and World Movement Web site to make them as useful as possible. (How would you best use the Web site? What would you most like to gain from it? What kind of information can help your organization to network with others?)
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Thank you!
Please return this form to:
Fax: +1 (202)223-6042
E-mail: world@ned.org
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