Commitments to Action Form

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COMMITMENT TO ACTION FORM
COMMITMENTS TO ACTION 2012 – 2013
UNAOC Partners Forum – Commitment to Action Form
Istanbul, Turkey, May 31 2012
Please fill in the Commitment Form and submit it to the UNAOC Secretariat in New York by
email: [email protected] or fax: 212-457-4032. Thank you in advance.
1. INTRODUCTION
Commitments can be all sizes – small or large; all levels – global or local; all kinds – financial
or nonmonetary in nature.
Commitments are first and foremost a plan for addressing a significant challenge – such as
youth needs, education, migration or media – or contributing to find innovative solutions
for making the world a better place in which to live through achieving the Alliance’s goals.
Many commitments are the result of cross-sector partnerships, combining efforts by all
players to scale up their projects and expand their impact
The UNAOC supports the development of commitments to action by facilitating dialogue,
providing opportunities to identify projects and commitment partners, showcasing the
actions taken by members, and communicating results. Sometimes it also tries to open up
new avenues for cooperation around concrete innovative initiatives that it leads.
2. COMMITMENT BY :
(name, title, organization, country)
3. COMMITMENT TO ACTION INFORMATION
Commitment Name:
Commitment Area

Education

Media

Migration

Youth

Cross-cutting - please list relevant focus areas :
S
Individual Commitment
Group Commitment
4. GEOGRAPHICAL FOCUS:
Please list region(s) the commitment targets:
Africa
North America
Asia
Mediterranean Region
Europe
Oceania
Latin America & Caribbean
South-East Europe
Worldwide
Countries/cities (please, specify):
2
5. COMMITMENT DURATION (please specify the time period in months/years it will
take to complete your commitment to action)
6. BACKGROUND & SUMMARY
1. Summary (please use overview provided in the Pledge Form)
2. Objectives
2.1. Overall goals-
2.2. Anticipated impact
2.3. Total number of beneficiaries
3
3. Types of activities you will you will engage in to achieve the objectives of your
commitment to action:
3.1. Awareness building
3.2. Capacity building
3.3. Policy dialogue
3.4. Advocacy
3.5. Others (specify)
4. Implementation Strategy
4.1 – launch date for your commitment
4.2- actions to be taken to implement your commitment (specify
implementation period for each action and target group)
4.3. specify targets to be achieved and how to measure progress
4
7. PARTNERSHIPS OPPORTUNITIES
7.1 Partnership opportunities – describe resources/assistance/partnerships
you are looking for or offering in relations to your commitment to action
7.2 Role of the UNAOC - How can the UNAOC assist you in achieving your
Commitment to Action?
8. FUNDING 8.1.– estimated total costs for commitment over its duration
8.2.Expected/targeted sources of funding
8.3. First year expected costs :
8.4.Funds raised to date:
5
9. CONTACT DETAILS
Name
Title
Agency / Institution /
Country /
Organization / Title:
Department:
Address:
Telephone:
Fax:
Email:
Website:
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