Professional Documents
Culture Documents
SECTION 1: Organization
Full Legal Name
of
NonGovernmental
Organization
(NGO)
(in capital letters)
Acronym
(where
applicable)
Year of
Establishment
Registered under
Act / Law
Country /
Province of
Registration
Registration
Number
Date of
Registration
Office Address
Contact Person
Designation
Phone
Fax
Website URL
Name
Profession
Years of
Experien
ce
Gender
F
Position in
Organizatio
n
Years the
on Board
Duration of Membership
City / Country
# of Program
Beneficiaries
Urban
Rural
Program
Start up
Date
Duration
(in months)
Amount
(USD)
Date of
Award
Type of Donor
Phone
E-mail
Duration and
Dates of Grants
Amount in USD
Purpose of Grant
2nd Donor
Donor Name
Address
Type of Donor
Phone
E-mail
Duration and
Dates of Grants
Amount in USD
Purpose of Grant
* Please note ZF may contact your current or previous donors for verification
Male
Female
Total
Chief Executive/Director
Consultants/Advisors
Program/Managers
Program/Field Officers
Media/production Experts
Gender Specialists
IT Specialists
Finance Managers
Accountant
Support Staf
Others Please explain
Total:
Ratin
g
Goals and Governance
6
Comments
Statements
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g
Comments
Statements
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Comments
Statements
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Comments
Statements
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and programs.
Program beneficiaries are selected through
a transparent and participatory process
involving discussions with target
communities and front line staf.
Adequate record of project beneficiaries is
maintained and shared with donors, if
required.
Program Planning
Comments
Statements
Ratin
g
11
Comments
12
13
Acknowledgement
Name
Position
Signature
Date and
Place
14