Demographic Information

**PLEASE ONLY SUBMIT THIS FORM IF YOU HAVE A NEW PROJECT TO REPORT OR AN UPDATE TO A PREVIOUSLY REPORTED PROJECT** If neither applies to you, you do not need to submit this form.


We are interested in learning more about funded projects you developed or worked on after completion of your ASEC program. A funded project is any project that you received a grant, monetary donation, in-kind donation, or other funding to implement.

Please ONLY complete this form if the following apply to you: 1. Have a new funded project to report to ASEC and/or 2. Have an update to provide on a project you have already reported to ASEC. If neither of these options apply to you, you do NOT need to complete this form.

If you are unsure of an answer to any question please write UNKNOWN - do not leave the question blank. We appreciate your time and effort in completing this form, and we congratulate you in using your skills to acquire funding for important projects. If you have any photos or videos as part of your project report, please email them to web@asec-sldi.org. 

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* 1. Today's Date

Date

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* 2. National ID Card Number:

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* 3. Surname:

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* 4. First Name:

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* 5. Middle Name:

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* 6. Email Address:

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* 7. Congregation (full name):

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* 8. Congregation Initials (letters only, no periods or spaces such as LSMIG):

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* 9. Country of Residence:

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* 10. Is this a new project or an update to a project you have already reported (only tick ONE)?

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