Application form for NGO and Indigenous Peoples representatives to be funded to attend the CIF Partnership Forum 2011

 

Working with the Advisory Group, and adapting the criteria established for the CIF Second Partnership Forum 2010, Manila, Stakeholder Forum has generated a set of criteria for NGO and Indigenous Peoples representatives from developing countries to be supported to attend the CIF 2011 Partnerships Forum. 

Please ensure that you fill out ALL criteria on the form or you submission will not be transmitted. If you are unsure or are unable to answer a question simply type “n/a” and move on to the next question.

About You
First Name:
Last Name:
Job Title:
Name of organisation:
Address of Organisation: (Both international and local, if applicable)
Contact Number (including country code):
Gender:	Male Female
E-mail address:
Please Confirm your Organisation is an NGO:	Yes No I am not sure
Please confirm you are representing an Indigenous Peoples’ group:	Yes No
Please indicate which of the following best describes your organisation, you can select more than one option if necessary:	Grassroots organisation Community Group Regional NGO International NGO Labour Group Women’s organistion Faith-based organisation Academic institution Research Organisation / Think Tank Community forestry group Youth organisation Scientific organisation
Of the four regions available for sponsorship, please indicate in which region your work is based:	Latin America and the Caribbean Africa Asia Pacific Eastern Europe
Have you previously received funding from the CIF Adminsitrative Unit to attend the CIF Partnership Forum 2010, 18-19th March, Manila?:	Yes – if so please follow the link for non-funded applications here No
Please indicate if you / your organisation is part of a wider network or stakeholder group i.e. works in a network of other organisations on a local, national, regional or international network:
Experience / Area of Expertise
Which of the following best describes your experience/area of expertise relevant to the CIF programme priorities? If none of the below apply, please use the ‘other’ box to provide us with more information about your experience/expertise:	Clean Technology Deforestation and forest degradation Climate Resilience Renewable Energy Other
	Please give details
Describe how your expertise and how your work activities relates to the area of expertise that you cited in the above question? * i.e: How does your work/projects relate to the CIF programme areas? How long have you specialised in the above area(s)? Has that involvement been at the local, national or international level?:
Please indicate if you / your organisation has a demonstrated affiliation with a community affected by the work of the CIF committees or experience of the CIF pilot programmes. If so, please provide details:
Please indicate if you / your organisation has had any direct experience of one of the CIF Pilot programme initiatives in any of the following countries/regions:	Colombia Egypt Indonesia Kazakhstan Mexico Morocco Nigeria Philippines South Africa Thailand Turkey Ukraine Vietnam Algeria Egypt Jordan Tunisia Bangladesh Bolivia Cambodia Mozambique Nepal Niger Tajikistan Yemen Zambia Caribbean S. Pacific Brazil Burkina Faso Democratic Republic of Congo Ghana Laos Peru Ethiopia Honduras Kenya Maldives Mali None of the Above
Please provide the name and details of a referee from the organisation you represent, to verify expertise and experience:
Job Title (referee):
Organisation (referee):
Contact Number (referee):
Email address (referee):
Relationship to referee:
Independence
Do you / your organisation have any current, past or pending contractual or direct financial relationships with the World Bank? Please provide details below:
Language
Please indicate which of the following languages you believe you have a sufficient understanding of, in order to take part effectively in formal sessions of the Partnership Forum and pilot country meetings. You may check more than one box if applicable:	English Spanish French
Register your interest in becoming a CIF Observer
Would you like to register your interest in becoming an Observer to the CIF decision-making committees for the 2011-2013 period?:	Yes No

If you would like to sign up to our multi-stakeholder magazine ‘Outreach’, which we will be producing at the CIF, click here and fill out the registration form on the side panel