P2P Application Form EMI Civil Society Congress: “Civil Society and

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P2P Application Form
EMI Civil Society Congress: “Civil Society and
P2P Evaluation Form Template [Insert title of
Beyond: A Joint Dialogue
on the European
your event]
Path”
[Insert: Venue, Date]
24-26 February 2016 ‚éúBelgrade, Serbia
Dear Applicant,
Thank you for your interest in participation in EMI Civil Society Congress: “Civil Society and Beyond: A Joint
Dialogue on the European Path”, which will take place in Belgrade, Serbia from 25 to 26 February 2016.
Please complete this form in order to qualify for participation in the selection process. Kindly note that your
personal information will not be shared with third parties outside of TACSO context, but information on your
organisation will be available in TACSO online database of CSOs.
The deadline for application submission is 02 December 2015 and we plan to have the results of the selection
process endorsed and published by 11 December 2015.
With best regards,
TACSO P2P Team
Personal information
Title:
e.g. Mr., Ms.
Your official position:
Name:
Surname:
Postal address:
City:
Postal code:
Mobile telephone:
Country:
e-mail address:
Information on the organisation that you
represent
Name of organisation in English:
Name of organisation in local language:
Postal address:
City:
Postal code:
Country:
Telephone:
Your direct telephone:
e-mail address:
UR
L
Social media addresses:
Organisation's type1:
Please, enter one of the options listed in footnote 1.
Organisation's 1st main area of activities2:
Please, enter one of the options listed in footnote 2
1 Business; Civil Society Organisation (citizens association, NGO); Citizens initiative or (informal) group; Coalition or platform;
Entrepreneurship; Foundation; Government body or agency; International organisation; Local/regional administration; Media;
National CSO network; Regional CSO network; Social entrepreneurship; Trade Union; Other.
2 Business, professional and specialized interests; Civil society development; Building and development of local communities;
Children and youth; Culture and art; Education and research; Environment protection; Ethnic communities and minorities;
Organisation's
activities2:
2nd
main
area
of
Please, enter one of the options listed in footnote 2
Professional experience
Please, list three work experiences that you judge to be most relevant for this Open Call; including in each instance
the information on the employer, the duration of the assignment and short description of your duties. Your
description should not exceed the length of this page.
Health and healthcare issues; Human rights, peace and non-violence; Legislation, advocacy and public policies; Persons with
disabilities; Social and humanitarian issues; Sports; Sustainable development; Women's human rights.
Your organisation's track record
Please, list the activities of your organisation related to the Congress’ theme.
Motivation for participation
Please, explain your motivation for participation in the Congress.
Your answer should not exceed 12 lines of text.
How do you see your contribution to this event?
Your answer should not exceed 12 lines of text.
Follow-up
Yes
TACSO may ask participants in events for follow-up engagement, such as presentations at
information events, sharing of experiences, etc. Would you be willing to take part in such follow
up activities?
No
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