Dear Applicant, Thank you for your interest in participation in Regional Conference: Community Building and CSOs’ Communication Please, complete this form in order to qualify for the participant selection process. Kindly use the tab key to move from field to field and do not use the diacritical marks when entering your information. 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. We will inform you of the outcome of the selection process in due course. With best regards, TACSO P2P Team Personal information Title: Ms.,Mr., Your official position: Name: Surname: Postal address: City: Postal code: Country: Mobile telephone: 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: 1 Please, select one of the following options: Business, Civil Society Organisation (Citizens Association, NGO), Civil initiative or (informal) group, Coalition or platform, CSO national network, CSO regional network, Entrepreneurship, Foundation, Government body or agency, International organization, Local/regional administration, Media, Social Entrepreneurship, Trade Union, Other Organisation's 1st main area of activities2: Organisation's 2nd main area of activities3: 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 2 and 3Please select one of the following options: Building and development of local community; Business, professional and specialist interests; Children and youth; Civil Society Development; Culture and arts; Culture of peace and nonviolence; Education and research; Ethnic communities and minorities; Health and health care issues; Human rights; Legislation, advocacy and public policy; People with disabilities; Protection of environment; Socio-humanitarian problems; Sports; Sustainable development; Women's human rights Motivation for participation Briefly explain your motivation for participation in this event. 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