ASSOCIATION OF FOUNDATIONS
MEMBERSHIP APPLICATION FORM
I.
ORGANIZATIONAL PROFILE
A. Name of Foundation
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B. Address
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C. Telephone Nos.
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D. Fax No.
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E. E-Mail Address
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F. Website ________________________________________________________
G. Date of Registration/Certification with:
1. SEC
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2. BIR
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H. Staff / Secretariat (Please indicate if full time, part-time or volunteer)
Name
Position
FT/PT/V
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2. __________________
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5. __________________
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6. __________________
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7. __________________
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8. __________________
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9. __________________
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10. __________________
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Membership Application Form (Rev July 2014)
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I. Nature of Foundation
( ) Strictly funding
( ) Strictly operating
( ) Both funding and operating
Approximate %:
Funding :
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Operating : ______
J. Type of Foundation
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Academe-based NGO
Church-based NGO
Community Foundation
Corporate Foundation
Family Foundation
Funding Mechanism
( ) Government-linked or
Government-organized NGO
( ) Network or Coalition
( ) Service Delivery NGO
( ) Religious or Charitable
K. Scope of Operation
( ) Barangay
( ) Municipal / City
( ) Province
( ) Region
( ) Nationwide
L. Accreditation/Certification
( ) Bureau of Rural Workers
( ) Commission on Higher Education
( ) Cooperative Development
Authority
( ) Department of Agrarian Reform
( ) Department of Agriculture
( ) Department of Education
( ) Department of Environment
and Natural Resources
( ) Department of Health
( ) Department of Labor
and Employment
( ) Department of Science
and Technology
( ) Department of Social Welfare
and Development
( ) Local Government Unit
( ) Philippine Council for NGO
Certification
( ) Presidential Commission on
Urban Poor
( ) Presidential Commission on
Urban Poor
( ) Technical Education Skills
Development Authority.
( ) Others (please specify)
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( ) not accredited with any
M. Affiliation (please use additional sheets if necessary)
1.
2.
3.
4.
Membership Application Form (Rev July 2014)
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II.
PROGRAMS AND PROJECTS
A. Program Areas (please check all that apply)
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Advocacy
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Agriculture
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Agrarian Reform
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Arts and Cultural Heritage
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Awards
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Biodiversity Conservation
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Capacity Building, Training
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and Skills Development
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Children’s Welfare
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Climate Change
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Community Organizing
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Corporate Social Responsibility (
Disaster Risk Reduction
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Education
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Food Security
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Gender
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Governance
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Health and Nutrition
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Human Rights
Legal Services
Livelihood and Enterprise Development
Media
Microcredit / Microfinance
Networking / Coalition-Building
Peace
Population
Reforestation
Research and Publication
Science and Technology
Sector Organizing
Social Enterprises
Social Housing
Social Services
Sports
Volunteering
Youth / Students
B. Specific Activities/Core Competence
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Advocacy
Capability/Institution Building
Community Organizing
Consulting Services
Counseling
Education/Training
Issue Advocacy
Lending, Financing, Grants
Livelihood
Medical Dental and Health
( ) Networking
( ) Project Management
( ) Research, Publications,
Policy Advocacy
( ) Resource Mobilization
( ) Sectoral Organizing
( ) Sustainable Integrated Area
Development
( ) Technology Transfer
( ) Others (please specify)
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C. Beneficiaries (please check all the sectors that your organization serves)
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Academe, Schools
Agrarian Reform Communities
Artists
Athletes
Children (14 years old and below)
Coalitions, Networks
Cooperatives
Environmental Advocates
Families
Membership Application Form (Rev July 2014)
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People’s Organizations (POs)
Persons with Disabilities
Prisoners
Public Transport Drivers and Operators
Religious Groups
Rural Community (upland, lowland, coastal)
Senior Citizens
Small- and Medium-Scale Entrepreneurs
Students
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Farmers
Fisherfolks
General Public
Indigenous Peoples (IPs)
Laborers and Labor Groups
Local Officials / LGU
Microcredit/Microfinance Institutions
Non-Government Organizations (NGO)
NGO Workers/Staff
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Teachers
Urban Poor
Victims of Natural Calamities
Victims of Human Rights Violations
Victims of War and Civil Unrest
Volunteers
Women
Youth (15 to 24 years old)
FINANCIAL DATA
A. Sources of Funds
1. Local
Funding Source
Specific Office/Agency
Entity
Percentage of Total
Budget of
Foundation
1.
2.
3.
4.
Government
Semi-Government
Family
Business/Private
Industries
5. Educational Institution
6. Religious
7. Civic Organization
8. Project, Income
Generating
9. Fund Raising Activities
10. Investment
2. Foreign
Funding Source
Country
Percentage of Total
Budget
of Foundation
1.
2.
3.
4.
5.
Membership Application Form (Rev July 2014)
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IV.
OTHER INFORMATION
In our desire to serve our members better, we would appreciate your candid response to the
following questions:
1. What services/benefits do you expect to receive from AF?
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2. What can you contribute?
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I hereby certify that the above information is true and correct to the best of my knowledge.
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Date
Signature over Printed Name
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Designation
V.
ENCLOSURES
The following documents/papers should accompany this application:
1. Articles of Incorporation
2. By-Laws
3. Audited Financial Report of the last three (3) years stamped and countersigned as
“RECEIVED” by the Bureau of Internal Revenue (BIR) and the Securities and
Exchange Commission (SEC)
4. General Information Sheet (GIS) of the last three (3) years stamped and
countersigned as “RECEIVED” by the Securities and Exchange Commission (SEC)
5. Brief Description of Current Programs
6. Annual Reports, Brochures, etc. of the last three (3) years
7. List of current Board of Trustees members with their occupation/affiliations and
contact addresses and numbers.
Membership Application Form (Rev July 2014)
Page 5
8. Organizational Chart
9. Endorsement from two (2) active AF Members
10. Board resolution naming one (1) official representative to AF eligible for
nomination/election to the AF Board of Trustees
Only applications with complete attachments (documents listed above) will be considered
for screening by the AF Membership Committee.
An application processing fee of Five Hundred Pesos (P500.00) is payable to the
Association of Foundations upon submission of this form.
Application documents must be submitted to:
The Executive Director
ASSOCIATION OF FOUNDATIONS
Rm. 1102, 11/f Aurora Tower, Aurora Boulevard
Cubao, Quezon City
For inquiries, please call the AF Secretariat at telephone numbers (02) 911-9792 or 913-7231 or
send an email to afonline@info.com.ph.
Membership Application Form (Rev July 2014)
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