Kindly Provide Contact Details of Committee / Managing Team / Organizing Team If Applicable

/ Registration Form
Name of organization:
Address of organization or meeting place:
Ownership status of the meeting place: / Owned by the group
Leased by the group
Rented by the group
Paid by the hour
Others (kindly provide details)
Details of contact person:
Name
Address
Telephone
Mobile Number
Email
Position within the organization

Please provide a brief description of the organization including the nature and the aim of the organization:

Kindly provide a brief description of the structure of the organization (e.g.: does the organization have committee/management/organizing team etc.)

Kindly provide contact details of committee / managing team / organizing team if applicable:

Name
Address
Telephone
Mobile Number
Email
Position within the organization
Name
Address
Telephone
Mobile Number
Email
Position within the organization
Name
Address
Telephone
Mobile Number
Email
Position within the organization
Name
Address
Telephone
Mobile Number
Email
Position within the organization
Name
Address
Telephone
Mobile Number
Email
Position within the organization
When was the organization formed?
Kindly indicate month during which AGM is held (or when change in committee members is usually effected)
Is your organization registered as a Voluntary Organization with the National Commission for Voluntary Organizations? / Yes No
If your answer is yes kindly give VO registration number:
Is your organization affiliated to any other organization? (both national or international) / Yes No
If your answer is yes kindly give name of organizations:

Does the organization have any kind of policy regarding membership?

Details of group leaders if any: / Details of members:
Male / Female / Male / Female
10-14 years
Under 18 / 15-19 years
Between 18-25 / 20-24 years
Over 25 years of age / 25 years and over
Total Members / Total Members
Which activities and/or projects is the group involved in?
Arts and Culture / Environmental / Outdoor Education
Dance/Music / Citizenship / Social Action / Youth Exchanges
Drama/Theatre / Community Development / Sports
Politics / Faith Development / Social and Personal Development

If there are other group activities which are not listed above kindly provide details:

Are the young people involved in the management of the group? / Yes No
Does the organization / group have a statute? / Yes No
Is there a recruitment and selection process for the leaders? / Yes No
Does the organization / group provide formal leadership training? / Yes No
I certify that the information given in this application form for registration with Aġenzija Żgħażagħ is true and correct.
Name: / Id. Number:
Signature: / Date:

Terms and Conditions

Personal information provided on this form is protected and used in accordance with the Data Protection Act. We will not disclose any personal information submitted and will not forward any personal contacts to third parties. Information submitted and personal contact details can be used by Aġenzija Żgħażagħ to distribute information in relation to opportunities and activities for young people.

For Office use only:
Registration No: / Date:
Comments: / Name & Signature of Youth Officer

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