Knowledge Management Portal

Are you a CSO or Individual?

Civil Society Organizations Individual Activists

For more information about filling CSO form please click on the following link: Click Here

Application for Membership in Promote Musharikat Coalition Civil Society Organizations

Please complete and submit this form if your CSO is interested in becoming a member of a Musharikat Coalition.

We would like to join the following Musharikat coalition: Select maximum of 2

Access to Education

Access to Economic Opportunity

Violence Against Women

Access to Healthcare

Access to Justice

Harassment of Women & Girls

Women and the Peace Process

Women's Political Participation

Name of CSO & ACRONYM: It is required

Year Established: It is required

Executive Director Name

Email:

Cell No:

CSO Address (Headquarters Office):

Entity Nationality: Afghan: International:

Province:

City/District:

Please select a province first.

CSO Primary Phone No:

CSO Email:

Location of Sub-Offices:

Geographic Experience - List Provinces where most activities implemented

Registered with: Ministry of Finance Ministry of Justice Ministry of Information and Culture Ministry of Education Ministry of Women’s Affairs

Number of CSO Members:

Female:

Male:

Number of Employees:

Female:

Male:

Association/Civil Society Network membership:

Association Name:

Network Name:

Relevant Women’s Rights/Empowerment and Advocacy Experience: (Use experience form)

Describe your relevant experience with women’s rights/empowerment, advocacy and other relevant areas you would bring to the Musharikat coalition. Specifically describe your experience in the following areas:

Experience with advocacy and initiatives supporting women’s equality, empowerment and participation and/or positive masculinity.
Knowledge of issues related to women’s rights and empowerment in Afghanistan.
Vision for Afghan women’s full participation in society.

Experience #1:

Project Title

Donor

From

Provinces/Districts

Purpose/Objectives of Project

Attachment

Experience #2:

Project Title

Donor

From

Provinces/Districts

Purpose/Objectives of Project

Attachment

Experience #3:

Project Title

Donor

From

Provinces/Districts

Purpose/Objectives of Project

Attachment

Mission, Vision, Goal and Objectives of Organization(Click to add details)

1. Mission:

2. Vision:

3. Goals/Objectives:

Has the CSO received support from any other USAID project?
If yes, which project:

Yes No

Women in Economy

Women in Government

Women’s Leadership Development

RASANA

USIP

Other

CSO was recommended to apply for coalition membership by:

Musharikat Coalition Member

Musharikat Employee

Musharikat Grantee

Other USAID Promote Project

USAID Project (not Promote):

Women’s Rights/Civil Society Network or

Donor or Donor Project (not USAID)

Became aware of Musharikat Coalitions through posting on ACBAR, USAID Promote website, NAW

CSO DELEGATES/REPRESENTATIVES:

Propose at least one qualified delegate (preferably 2) to represent the CSO in Musharikat coalition activities.
Delegates must have experience in women’s empowerment/advocacy and time to commit to participation in coalition activities such as: Coalition meetings and events, implementation of coalition advocacy plans, stakeholder coordination meetings, roundtables and other media campaign activities, public awareness gatherings/workshops, research and government advocacy/lobby meetings
NOTE: Submit completed Appendix A, “Application for Individual Activist or CSO Delegate” with your application for all proposed CSO delegates.

CSO Delegate #1

Name

Title

Cell No:

Alternate Cell:

Email:

Alternate Email

Signature

Date

CSO Delegate #2

Name

Title

Cell No:

Alternate Cell:

Email:

Alternate Email

Signature

Date

CSO Director

Name

Title

Cell No:

Alternate Cell:

Email:

Alternate Email

Signature

Date

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

For more information about filling individual form please click on the following link: Click Here

Application for Membership in Promote Musharikat Coalition Individual Activist or CSO Delegate

We would like to join the following Musharikat coalition: Select maximum of 2

Access to Education

Access to Economic Opportunity

Violence Against Women

Access to Healthcare

Access to Justice

Harassment of Women & Girls

Women and the Peace Process

Women's Political Participation

First Name:

Last Name (or father’s name):

Currently living province:

City/District:

Please select a province first.

Cell No:

Alternate Cell:

Email:

Alternate Email

Gender:

Tazkera/National ID No:

(Attach copy)

Education:

Field/Faculty

University Name

Current Employment:

Name of Organization

Job Title

Your CV may be attached to provide examples of your relevant experience. If do not have CV (this does not disqualify you from being a member) : ( Attachment)

Experience #1:

Job Title

Name of Organization

From

Provinces/Districts

Purpose/Objectives of Project

Experience #2:

Job Title

Name of Organization

From

Provinces/Districts

Purpose/Objectives of Project

Have you received support from any other USAID project?
If yes, which project:

Yes No

Women in Economy

Women in Government

Women’s Leadership Development

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

Are you a CSO or Individual?

Number of CSO Members:

Number of Employees:

Association/Civil Society Network membership:

Has the CSO received support from any other USAID project? If yes, which project:

NOTE: Please be assured that all information provided will be closely held and not be shared with any other party, for any purpose, without prior consent.

Have you received support from any other USAID project? If yes, which project:

Has the CSO received support from any other USAID project?
If yes, which project:

Have you received support from any other USAID project?
If yes, which project: