Organizations registration form (English)

I. INFORMATION ABOUT THE ORGANIZATION

Name of the NGO

The starting year of the activity

Form of the organization
 Association Foundation Center Social Enterprise

Mission

(please complete the mission in words the same way as you use in your promotion materials or the same as you have it describen in your registrations document.)

Fields of the activity of your organization
(choose all the fields that apply to you)
 Education Art/Culture Union of Professionals (NGO of lawyers, accountants, judges, builders, etc..) Social Issues Media Environment Good governance Health Human Rights Elections Justice and LawOther:

From the above fields please choose the one that is most suited to you

Name of the Executive Director

Geographic Coverage
Please put the name of the cities where you are active or write National if you have national coverage.

Office Address

(Please put your address exactly because your organization will be listed on map.)

Telephone

Fax

E-Mail

WWW Address

Facebook

Linkedin

Field of services provided by your organization
(choose all the options that apply to you)
 Training Qualification courses / Professional training Research/Study Mediation and conflict resolution Career counseling and employment services Process Facilitation
Social Services
 Legal Service Daily Center Residential Center Therapy and psychological counseling Sevices and health counseling Shërbime të Tjera:

Beneficiaries of the services
 Members Business Children Women Public Minorities People with special needs (physical and psychological) LGBT Community Elderly Youth Central Administration Local AdministrationOther:

II. INFORMATION ABOUT THE PROJECTS

Projects under implementation
(list the two most important):

Project 1

Title

Donor

Duration

Purpose

Targeted Area

The targeted groups
 Members Business Children Women Public Minorities People with special needs(physical and psychological) LGBT Community Elderly Youth Central Administration Local AdministrationOther:

Service offered
 Training Qualification courses / Professional training Research/Study Mediation and conflict resolution Career counseling and employment services Process Facilitation Legal Service Daily Center Residential Center Therapy and psychological counseling Sevices and health counselingOther services:

 Volunteers required

***

Project 2

Title

Donor

Duration

Purpose

Targeted Area

The targeted groups
 Members Business Children Women Public Minorities People with special needs(physical and psychological) LGBT Community Elderly Youth Central Administration Local AdministrationOther:

Service offered
 Training Qualification courses / Professional training Research/Study Mediation and conflict resolution Career counseling and employment services Process Facilitation Legal Service Daily Center Residential Center Therapy and psychological counseling Sevices and health counselingOther services:

 Volunteers required

Completed projects implemented in the past three years
(list the two most important):

Project 1

Title

Donor

Duration

Purpose

Targeted Area

The targeted groups
 Members Business Children Women Public Minorities People with special needs (physical and psychological) LGBT Community Elderly Youth Central Administration Local AdministrationOther Beneficiaries:

Service offered
 Training Qualification courses / Professional training Research/Study Mediation and conflict resolution Career counseling and employment services Process Facilitation Legal Service Daily Center Residential Center Therapy and psychological counseling Sevices and health counselingOther services:

***

Project 2

Title

Donor

Duration

Purpose

Targeted Area

The targeted groups
 Members Business Children Women Public Minorities People with special needs (physical and psychological) LGBT Community Elderly Youth Central Administration Local AdministrationOther Beneficiaries:

Service offered
 Training Qualification courses / Professional training Research/Study Mediation and conflict resolution Career counseling and employment services Process Facilitation Legal Service Daily Center Residential Center Therapy and psychological counseling Sevices and health counselingOther services: