CCWG Expression of Interest (EOI) Form

The Caribbean (Civil Society) Consultative Working Group (CCWG) is a consultative mechanism that provides Civil Society Organisations with an opportunity to have input into regional policy making and bring their expertise and experiences at the sectoral and national level to influence regional policymakers. The aim of the CCWG is to improve the networking and policy advocacy capacity of Caribbean NGOs and CSOs by convening the CCWG advocacy platform, to undertake research, engage national/ local stakeholders, and lead advocacy interventions on national and regional socio-economic policy interventions.

In light of this, the Caribbean Policy Development Centre (CPDC) is requesting that all NGO/Community Base Organisations (CBOs) who are interested in CCWG membership should complete the Expression of Interest form on or before August 23rd, 2021.

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* 1. What is the name of the organisation you represent?

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* 2. What is the postal address of the organisation you represent?

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* 3. What is the telephone number of the organisation you represent?

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* 4. What is the email address of the organisation you represent?

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* 5. What is the organisation's website and or Facebook/ Instagram handle?

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* 6. Who is the pimary contact for the organisation which you represent ( Name and designation)?

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* 7. How many full-time staff does the organisation have?

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* 8. How many part-time staff does the organisation have?

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* 9. How many full-time volunteers does the organisation have?

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* 10. How many part-time volunteers does your organisation have?

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* 11. Is your organisation membership based?

Yes

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* 12. If yes, how many members do you currently have?

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* 13. Please list any networks to which your organisation belongs.

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* 14. In which country/countries are your organisation registered?

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* 15. Please indicate the year your organisation was registered.

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* 16. List the country/ies in which your organisation operates.

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* 17. List the thematic priorities/ areas of work of the organisation.

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* 18. Please list the priority policy issues for your organisation.

Policy Issue 1

Policy Issue 2

Policy Issue 3

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* 19. Explain your experience with social mobilisation and/ or stakeholder education in the past three years

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* 20. Please identify any projects you are currently engaged in. For each project listed, please identify the project name, objectives, and total number of project beneficiaries.

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* 21. Has your organisation convened any public consultations for Civil Society in the past five years?

Yes

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* 22. If yes, what type?

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* 23. Is your organisation known to be engaged in partisan politics?

Yes

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* 24. Does your organisation agree to undertake the following CCWG Commitments?

	Yes	No
A minimum time of commitment of 8 hours per month	A minimum time of commitment of 8 hours per month Yes	A minimum time of commitment of 8 hours per month No
Ability and capacity to submit timely and evidenced based contributions about policy issues under discussion	Ability and capacity to submit timely and evidenced based contributions about policy issues under discussion Yes	Ability and capacity to submit timely and evidenced based contributions about policy issues under discussion No
Ability to commit at least 15 days per year to attend CCWG meetings or represent CPDC with regards to attending policy related fora	Ability to commit at least 15 days per year to attend CCWG meetings or represent CPDC with regards to attending policy related fora Yes	Ability to commit at least 15 days per year to attend CCWG meetings or represent CPDC with regards to attending policy related fora No
Ensure that at least one of the two representatives assigned to the CCWG is a member of senior management	Ensure that at least one of the two representatives assigned to the CCWG is a member of senior management Yes	Ensure that at least one of the two representatives assigned to the CCWG is a member of senior management No

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* 25. Is your organisation a member of CPDC?

Yes

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* 26. Is your organisation currently a signatory to the CPDC Code of Conduct?

Yes

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* 27. If no, is your organisation willing to become a signatory to the CPDC Code of Conduct? The code of conduct can be viewed at https://cpdcngo.org/ngo-code-of-conduct/

Yes

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* 28. Please provide the contact information of two organisations you have collaborated with in the past three years. ( Please include the name of the primary contact person, type of collaboration/ relationship, name of the organisation, address, email address, telephone number, and summary of actions undertaken)