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Questionnaire Questionnaire for NGO Assessment 1. Name of the Organization 2. Address 3. Contact details Telephone Fax e-mail 4. Year of establishment 5. Registration status a) NGO Affairs Bureau b) Social Welfare c) Others 6. Name and designation of the Chief Executive
: : : : : : : : : :
7. Names and professions Members of the organization :: professions of the Board Board Members SL 1. 2. 3. 4. 5. 6. 7. 8. 9.
Name(s)
Profession
10.
8. Brief description of the organization: organization: Mission:
Goal:
Issues working with: 9. Total number of staff :
Total
Male
Female
10. How many of them are : Working in the countercounter Trafficking section/project
Total
Male
Female
11. Geographical coverage Sl.
District
: Thana Thana
12. Received any training on CounterCounter -Trafficking: -Trafficking:
Village/Union
Yes
No
If yes, please specify the followings : Name of the staff Member
Name of the training
Organized/ Conducted by
13. How long you are working in Counter Counter--trafficking -trafficking field : 14. Project/Activities on CounterTrafficking (Previous and Present) : Counter --Trafficking Sl. a. b. c. d. e. f. g. h.
Name of the Project/Activities
Duration
15. Do you need any further training on countercounter -trafficking -trafficking :
Name of Donor(s)
Yes
No
Yes
No
Yes
No
16. If yes, please mention reason and topics : • •
17. Does your organization have any experience to work with/for the rescued victims of trafficking
:
18. Does your organization have have close contact with Local govt. other NGOs and CBOs
:
19. Does your organization have any setup for providing training for income generating activities (if any) ::
1. 2. 3.
20. Any other achievements/ experience on CounterCounter -Trafficking -Trafficking (if (if any) : 1. 2. 3. 4. 5. 21. What is the gender consideration within your organization: (Gender in Project cycle management, gender policy) 22. What is the status of the organization audit : (Please enclose audit report, management report report-- if any) 23. What What is the source of funding : 24. Who are the current donors : 25. What is the financial management system of your organization A. Rules and regulations:
B. Procedures:
C. Accounting system: 26. Time and date of the interview : 27. Place of interview :
_____________________ Signature of Information Provider Provider Name: Designation:
____________________________ ____________________________ Signature of Information Controller Controller Name : Designation: