Contact form

Membership form /*Mandatory informations/

Name of the Organization: *

Head of the Organization:

Contact Person (1): *

Contact Person (2):

Address: *

City: *

Country: *

Telephone (1): *

Telephone (2):

Fax:

Mobile Phone:

Email (1): *

Email (2):

Website:

Date, Months and Year of establishment: *

Number of Members: *

Fields of Activity: *
Children & Youth
LLP - Communication & Media
Education
Equality & Social Inclusion
Local Leadership
Religion, Belief & Ethics
Social & Cultural Development
Women
Volunteerism
Other

General information, (Max 150 words) including: *

Structure of the organization, including number of staff employed and/or partners
Budgetary resources available in a year
Sources of funding
Modalities of action (concrete projects, exchanges, seminars, scholarships etc.)
Main partners involved in the organization's projects/activities

Main Projects / Activities: Max 150 Words *