Download factsheet (doc) - United Nations Office on Drugs and Crime

FACTSHEET
FOR NGOs ENGAGED IN ACTIVITIES RELATING TO DRUG, CRIME PREVENTION AND CRIMINAL
JUSTICE
TO JOIN THE UNODC NGO Database
 Please fill out this form and return it to [email protected]
ORGANIZATION:
Name
Acronym
Select your main work area (only one)
☐ Crime
☐ Drug
Is your organization recognized by the government? ☐ Yes
☐ No
If yes, indicate the registration number
Does your organization has ECOSOC Status?
☐ Yes
☐ No
If you are not sure about, kindly look for your organization into the UNDESA Database and look at your Consultative Status:
http://csonet.org/
If yes, indicate the status ☐ General
☐ Special
☐ Roster
CONTACT INFORMATION:
Address
(HQ if
international
organization)
Contact (generic/
of the
organization)
Contact person 1
Contact person 2
Contact person 3
Factsheet
Street and
house nb
P.O.Box
ZIP Code and
Town
Country
Tel
Email
Website
First name
Last name
Function
Email
Tel
First name
Last name
Function
Email
Tel
First name
Last name
Function
Email
Tel
☐ Head
☐ Focal person
☐ Others
☐ Head
☐ Focal person
☐ Others
☐ Head
☐ Focal person
☐ Others
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UNODC Civil Society Team
LANGUAGES:
☐ Arabic
☐ English
Others
Languages
☐ Spanish
☐ French
☐ Russian
☐ Chinese
ACTIVITIES:
Sphere of
action
Short
description
☐ Prevention
☐ Training
☐ Anti-Corruption
☐ Criminal Justice
☐ Treatment
☐ Counselling
☐ Victim
Protection
☐ Legal
Assistance
☐ Rehabilitation
☐ Research
☐ Anti-Human
Trafficking
☐ Education
☐ HIV/Aids
☐ Sustainable
Development
☐ Education
☐ Arms control
☐ Wildlife and Forest
crimes
☐ Maritime crime and
piracy
☐ Human rights
☐ Rule of law
Others
Mission (one
sentence)
Main activities (60
words max)
Main achievements
(60 words max)
Target
groups
Reached by
Intervention
☐ General public
☐ Vulnerable groups
☐ Drug users
☐ Victims
Others
☐ Peer-to-peer
☐
Conference/seminar
Others
☐ Lobby
☐ Mobilisation
☐ Youth
☐ Sex workers
☐ Medical services
☐ Policy makers
☐ Parents
☐ Migrants
☐ Social workers
☐ Prisoners
☐ Women
☐ Street children
☐ Educators
☐ Law enforcement agencies
☐ Training
☐ Internet
☐ Phone
☐ Press release
☐ Radio
☐ Television
☐ Sensitization
☐ Education
☐ Research
☐ Documentation
☐ Technical/ Legal assistance
☐ Supply
Others
MATERIALS:
Title
Internet link
Main Publications
(3 max)
Videos
(3 max)
Website (other
than organization
website)
Factsheet
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UNODC Civil Society Team
OTHER OFFICES (if your organization is working in different localization):
Office 1
Office 2
Office 3
Office 4
Office 5
Country
Website
Email
Country
Website
Email
Country
Website
Email
Country
Website
Email
Country
Website
Email
AFFILIATED NETWORK:
Name
Address
Country
COOPERATIONS:
Type
Inter-Governmental partners
Governmental partners
Main Civil Society Organizations partners
Name
Acronym
ACTIVITIES WITH UNODC:
Participation to major UNODC events
Name
Session
number
Participant
First name
Year
Last name
Commission on Narcotic Drugs (CND)
Commission on Crime Prevention and Criminal Justice (CCPCJ)
UN Crime Congress
Conference of the State Parties to the UN Convention Against
Transnational Organized Crime and its Protocols (CTOP/COP)
Conference of the State Parties to the UN Convention Against
Corruption (CAC/COSP)
Briefing for NGOs on the margin of the IRG to the United Nations
Conventions against Corruption
Multi-stakeholder Workshop on the United Nations Conventions
against Corruption
Factsheet
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UNODC Civil Society Team
Collaboration(s) with UNODC Office for project implementation
Name
UNODC Office
Year of implementation
Grant(s) received from UNODC
Name of the Grant
Name of the project financed
Amount financed by UNODC
Year
Award(s) received from UNODC
Name
Year
Participation in UNODC campaign
Name
Year
FACTSHEET completed by:
First Name
Last name
Date
(DD/MM/YYYY)
Factsheet
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UNODC Civil Society Team