FACTSHEET

FOR NGOs ENGAGED IN ACTIVITIES RELATING TO DRUG, CRIME PREVENTION AND CRIMINAL JUSTICE

TO JOIN THE UNODC NGO Database

Ø  Please fill out this form and return it to

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) / Street and house nb
P.O.Box
ZIP Code and Town
Country
Contact (generic/ of the organization) / Tel
Email
Website
Contact person 1 / First name
Last name
Function / ☐ Head / ☐ Focal person / ☐ Others
Email
Tel
Contact person 2 / First name
Last name
Function / ☐ Head / ☐ Focal person / ☐ Others
Email
Tel
Contact person 3 / First name
Last name
Function / ☐ Head / ☐ Focal person / ☐ Others
Email
Tel

LANGUAGES:

Languages / ☐ Arabic
☐ English / ☐ Spanish
☐ French / ☐ Russian
☐ Chinese
Others

ACTIVITIES:

Sphere of action / ☐ 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
Short description / Mission (one sentence)
Main activities (60 words max)
Main achievements (60 words max)
Target groups / ☐ General public
☐ Vulnerable groups
☐ Drug users
☐ Victims / ☐ Youth
☐ Sex workers
☐ Medical services
☐ Policy makers / ☐ Parents
☐ Migrants
☐ Social workers
☐ Prisoners / ☐ Women
☐ Street children
☐ Educators
☐ Law enforcement agencies
Others
Reached by / ☐ Peer-to-peer
☐ Conference/seminar / ☐ Training
☐ Internet / ☐ Phone
☐ Press release / ☐ Radio
☐ Television
Others
Intervention / ☐ Lobby
☐ Mobilisation / ☐ 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)

OTHER OFFICES (if your organization is working in different localization):

Office 1 / Country
Website
Email
Office 2 / Country
Website
Email
Office 3 / Country
Website
Email
Office 4 / Country
Website
Email
Office 5 / Country
Website
Email

AFFILIATED NETWORK:

Name
Address
Country

COOPERATIONS:

Type / Name / Acronym
Inter-Governmental partners
Governmental partners
Main Civil Society Organizations partners

ACTIVITIES WITH UNODC:

Participation to major UNODC events
Name / Session number / Participant / Year
First name / 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
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 Page 1 of 4 UNODC Civil Society Team