Membership form Membership Form of NEAYEN

Please fill up this questionnaire and turn in to the designated national focal point.

GENERAL INFORMATION

1. Check the category which you fit in among the following 4 types:

(a) organizations working in the field of environment and youth/ organizations working in the field of environment and plan to undertake projects/activities involving youth in future [ ]
(b) youth groups working in the field of environment/ youth groups in future planning to undertake projects/activities on environment [ ]
(c) institutions who do not promote anything which hamper NEAYEN agenda [ ]
(d) individuals who are interested or involved in working for environment and youth [ ]

2. Name of the organization (Including Acronyms):

3.

(a) Address or the organization:

Country:
Postal Code:

(b) telephone number (with country and city codes):
(c) fax number (with country and city codes):
(d) e-mail:
(e) website:

4.

(a) Total number of staff in your organization:

(b) staff committed to youth initiatives and/or environmental education programme:

5. Details of contact person for youth initiatives in your organization:

(a) Name:
(b) Designation:
(c) Address (if different from number 2):
(d) E-mail:

Details about your organization

6. Year of establishment:

7. Type of organization:

(a) Non-Governmental Organization [ ]
(b) Educational Institute [ ]
(c) Network/Forum [ ]
(d) Government Agency/Department [ ]
(e) Others (Please Specify):

8. What areas of concern do your programmes address
(check as many as relevant):

(a) Natural Resource Management [ ]
(b) Pollution [ ]
(c) Energy [ ]
(d) Biodiversity [ ]
(e) Urban Issues [ ]
(f) Environmental Legislation [ ]
(g) Urban Issues [ ]
(h) Protected Areas [ ]
(i) Technology and Industry [ ]
(j) Others (Please specify):

9. What kind of work are you doing in your areas of concern
(check as many as relevant) :

(a) Research[ ]
(b) Planning & Management [ ]
(c) Education & Awareness [ ]
(d) Monitoring & Assessment [ ]
(e) Policy Development [ ]
(f) Networking [ ]
(g) Others (Please specify):

ABOUT YOUR PROGRAMMES

10. Target audience of your programmes:
(check as many as relevant)

(a) community [ ]
(b) teachers [ ]
(c) children/youth [ ]
(d) government personnel [ ]
(e) ngo personnel [ ]
(f) others (please specify):

11. Mention your significant partners, (Please specify Government Ministries, NGOs, Educational Institutes, Support Agencies etc.) whom you work with, and the kind of partnerships (Financial, Technical etc.) your organization has with them:

(a) Government:
(b) Educational Insititutes:
(c) NGOs:
(d) Others (Please specify):

12. Types of youth initiatives and/or environmental education programmes and activities conducted:

(a) workshops [ ]
(b) training programmes [ ]
(c) seminars/symposia/conferences [ ]
(d) nature camps [ ]
(e) exhibitions [ ]
(f) advocacy programmes [ ]
(g) development of educational materials [ ]
(h) use of media [ ]
(i) others (please specify):

13. Significant youth initiatives and/or environmental education programmes of your organization (please mention):

14. Important youth initiatives and/or environmental education resources developed
(please append list, if any):

(a) publications:
(b) video/audio programmes:
(c) other educational materials (please specify)

15. In the near future what are your organization’s plans in the area of youth initiative and/or environmental education?

** Please do include any other relevant information

If you have filled in the form completely, please e-mail or post it to designated national focal point in your country with a copy to the NEAYEN secretariat.

NEAYEN Secretariat

UNEP National Committee for the Republic of Korea
#506 Suwoon Hall, 88 Kyungwoon-dong, Jongno-gu, Seoul 110-775, KOREA
Phone: +82-2-720-1011
Fax: +82-2-738-8714
E-mail: jeon@unep.or.kr, mkwon@unep.or.kr