Core Member Application form Core Member Application Form Question Title * 1. What's the name of your organization? Question Title * 2. Have you already applied as a general member of the Alliance? Yes No Question Title * 3. If no to Question 2, please first apply for the general membership at https://www.surveymonkey.com/r/AllianceGNRLMEMBEROrIf yes to Question 2, please provide the date of your application for general membership: Date / Time Date Time AM/PM - AM PM Question Title * 4. Have you been an active member in any of the Alliance Working Groups and/or Task Forces in the past year? Yes No Question Title * 5. If yes to Question 5, which Working Groups or Task Forces (select all that apply) CMPS Working Group Learning and Development Working Group Advocacy Working Group Assessment, Measurement and Evidence Working group Unaccompanied and Separated Children (UASC) Task force Case Management Task force Community Based Child Protection Task Force Child Participation and Accountability Task Force Cash Transfer Task force Psychosocial Support for Parents and Caregivers Task Force Child Labour Task force Question Title * 6. If no to Question 5, which Working Groups or Task Forces are you planning to actively engage with (select all that apply) CMPS Working Group Learning and Development Working Group Advocacy Working Group Assessment, Measurement and Evidence Working group Unaccompanied and Separated Children (UASC) Task force Case Management Task force Community Based Child Protection Task Force Child Participation and Accountability Task Force Cash Transfer Task force Psychosocial Support for Parents and Caregivers Task Force Child Labour Task force Question Title * 7. Is your organization able and committed to dedicate at least 2 person-days of a senior child protection specialist time to the Alliance? Yes No Question Title * 8. If yes to Question 8, please mention the name of the person Question Title * 9. Describe how your organization will be able to benefit from being a core member of the Alliance (as opposed to being a general member)? Question Title * 10. If you are approved as a core member of the Alliance, how do you plan to contribute to the work of the Alliance (beyond what you can do as a general member)? Question Title * 11. Please upload any supporting document that you may think will help the Alliance Steering Committee in their consideration of your organization as a Core Member. This may include codes of conduct, child safeguarding procedures, annual reports, certificates, etc. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload any supporting document that you may think will help the Alliance Steering Committee in their consideration of your organization as a Core Member. This may include codes of conduct, child safeguarding procedures, annual reports, certificates, etc. Done
