Invitation to sign the Civil Society joint statement and score-card

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* 1. I confirm that my organisation, named in #2 below, agrees to be listed as a signatory to the Civil Society joint statement "Rising to the challenge: world leaders need to urgently adopt solutions for refugees and migrants beyond the UN Summit" and score-card.

Yes

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* 2. Name of my organisation:

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* 3. My contact information:

Name:

Last name:

Country of Residence:

Job title:

E-mail:

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* 4. Headquarters of my organisation:

City

Country

Region

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* 5. Website of my organisation:

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* 6. Type of organisation:

Development Organisation

Human Rights Organisation

Trade Union

Private Sector

Academia

Other (please specify)

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* 7. Is your organisation a migrant/diaspora organisation or led by a migrant or diaspora member? (For this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

Yes

No

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* 8. Are you a refugee, a migrant (for this survey, 'migrant' means outside your country of birth for more than one year), or consider yourself to be of the diaspora (for this survey, 'diaspora' means either you or at least one of your parents or grandparents are or were migrants)?

Yes

No

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* 9. Should we contact you for advocacy purposes beyond the UN high-level Summit on 19th September 2016?

Yes

No

If not, is there someone else we should contact in your organisation? (Please, provide names and email)

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* 10. What is your organisation's main level of intervention?

Local/national

International

Regional

Other (please specify)

Thanks for signing on!