CIVICUS Civil Society Index 

APPLICATION FORM 

National Coordinating Organization 

1.	Name of organization: 

2.	Country: 

3.	Type of organization: 

4.	Short profile of organization: 

5.	What particular merits do you see in implementing the CIVICUS Civil Society Index in your country? 

6.	What, in your opinion, are the potential methodological and logistical problems in implementing the CSI in your country? 

7.	What are the specific strengths of your organization to take on the role of National Coordinating Organization (NCO) in the CSI? 

8.	Please provide a brief outline of your previous experience in civil society research in your country: 

9.	Please provide a brief outline of your previous work on convening civil society stakeholders in your country: 

10.	Please provide a brief outline of your previous work on civil society capacity-building initiatives: 

11.	What is the amount and source of funding already committed to implementing the CSI in your country, if any? 

12.	Which donors did you contact with regard to a potential funding for the CSI implementation in your country? What were the outcomes of those meetings? 

13.	Which donors do you still plan to contact regarding funding support? 

Contact information: 

Contact person: 

Postal address: 

Phone/fax: 

Email: 

Website: 

Please submit the following along with your statement of interest: 
•	Latest annual report 
•	Copies of any papers or documents pertaining to civil society research & capacity-building, which you deem appropriate; 
•	At least two letters of support by other organizations/civil society stakeholders. CIVICUS encourages you to seek letters of support from organizations from different sectors of civil society than your own 

A preliminary list of civil society stakeholders which you plan to invite for the National Workshop.