CSC NETWORK MEMBER APPLICATION FORM
Organisation Name:
Acronym:
Address:
City:
Tel:
Website:
Charity registration number:
Charity income in last financial year:
Number of paid staff:
Name of CEO/Director/Chair:
Country:
Email:
Facebook:
ZIP/Post Code:
Skype:
Twitter:
Registered with:
Date of establishment:
Number of volunteers:
MAIN CONTACT DETAILS
Main contact full name:
Main contact position:
Tel:
E-mail:
Skype:
DETAILS OF WORK
Organisation’s main focus:
Do you work directly with street-connected children or through partners?
Directly
'Street-connected children' are children under 18 years old for whom the street is a central reference point
- one which plays a significant role in their everyday life and identity. This includes children who spend
time, work and/or live on the streets and those at risk of going onto the streets)
Partners
Partners you work with:
Remit of programmes (yours’ and partners’) that support street children:
Countries in which you (and your partners) support street children:
CHILD PROTECTION
Does your organisation have a Child Protection Policy (delete as appropriate)?
Both
Yes
No
If no please give reason(s):
WHY DO YOU WANT TO BECOME A MEMBER OF CSC?
HOW DID YOU HEAR ABOUT CSC?
REFERENCES
(these must be representatives of two different registered charities, academic departments or donor
agencies who are familiar with your work)
Reference 1 Name:
Organisation:
Position:
Address:
City:
Country:
ZIP/Post Code:
Phone:
E-mail:
Skype:
Website:
Reference 2 Name:
Organisation:
Position:
Address:
City:
Country:
ZIP/Post Code:
Phone:
E-mail:
Skype:
Website:
SIGNATURES
I confirm that the information on this form is true and accurate (to the best of my knowledge) and that I am
an authorised representative of the named organisation:
Signature:
Name:
Date:
(we accept electronic signatures)
CONDITIONS OF NETWORK MEMBERSHIP
The Consortium for Street Children (CSC) is the leading international network dedicated to realising the
rights of street children worldwide. We are Louder Together.
Organisations may be eligible for network membership of the Consortium for Street Children providing they
meet the following conditions and expectations:
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Join CSC in being Louder Together for street children
Enclose a signed copy of CSC’s Statement of Commitment to Child Protection (below). Note that
signing the statement commits your organisation to having a child protection policy or developing
one within six months of joining CSC
Agree to keep CSC informed about any relevant changes in the organisation which affect conditions
of membership
Agree that any private documents accessed within the password protected sections of CSC’s
Online Resource Centre (e.g. the Shared Learning Hub and/or Research Hub) are not shared
externally of the network
Are registered with the Charity Commission/equivalent (NGOs only)
Complete CSC’s annual network survey, sent to the network at the start of each year (this is
anonymous and take approximately 15 minutes to complete. It informs CSC’s strategy)
Pay promptly any sums due to CSC. Note that membership commences on receipt of payment;
subsequent years’ membership payments are due in January and cover the period January to
December
CSC reserves the rights to withhold network membership, or to suspend or terminate current membership,
if any of the above conditions are not adhered to. CSC network membership is at CSC’s discretion.
NETWORK FEE
£250 for UK-based members / $250 for international members per calendar year (January to December)
£150 for individual members (who must be personally known to an NGO member to apply).
STATEMENT OF COMMITMENT TO CHILD PROTECTION: FOR
ORGANISATIONAL MEMBERS
We _____________________ [name of organisation] commit to:
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Protecting children from abuse, neglect, violence and exploitation
Placing the well-being of children at the centre of our work, underpinning the ethos,
policies, practices and programmes of our organisation
Having a child protection policy, practices and programmes that cover both the
prevention of, and response to child abuse, neglect, violence and exploitation. These
are in line with the values enshrined in international and national standards and
principles, namely: the United Nations Convention on the Rights of the Child
(UNCRC) and its optional protocols; and legislation in the countries in which we
operate
Addressing specific, local context protection risks pertaining to the children we
support through our child protection policy, practices and programmes
Providing sufficient training to enable staff and volunteers to obtain and maintain a
clear understanding of their child protection responsibilities
Supporting those who report suspected/actual child abuse, neglect, violence and
exploitation
Recognising the importance of children’s participation in the design and
implementation of our child protection policy, practices and programmes, helping our
organisation to identify and meet children’s needs
Fostering a collaborative approach to child protection, working with our partner
organisations and others to support the development of theirs and our child
protection policies, practices and programmes
Ongoing monitoring of the effectiveness of our child protection policy, practices and
programmes
[Where a prospective member does not have a CPP to date] developing a child
protection policy within six months of joining the Consortium for Street Children
(CSC).
“I, ______________________ [name of individual], on behalf of _____________________
[name of organisation], have read, understood and adhere to the statement of commitment
to child protection outlined above.
_____________________________
(Print name)
____________________________
(Job title / role)
____________________________
(Signature)
____________________________
(Date)