Uganda Child Rights NGO Network
New Membership Application Form
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NGO Database and Membership Directory Information

Name of Agency/ Organization:
Acronym:
Contact Person (Head of
Agency/ Organization):
Title:
Address:
P.O. Box:
Telephone:
Mobile:
Fax:
E-Mail:
Website:
Date of submission:

Year of Foundation:
Funders:
Objectives of the Agency/ Organization:
Activities/ Services:
Type of Agency/ Organization:
International Organization
National based NGO
District based NGO
Community based NGO
Local support NGO
Religious Group
Other, please specify:
Geographical Area of Operation:
Adjumani Apac Arua Bugiri
Bundibugyo Bushenyi Busia Gulu
Hoima Iganga Jinja Kabale
Kabarole Kaberamaido Kalangala Kampala
Kamuli Kamwenge Kanungu Kapchorwa
Kasese Katakwi Kayunga Kibale
Kiboga Kisoro Kitgum Kotido
Kumi Kyenyoyo Lira Luwero
Masaka Masindi Mayuge Mbale
Mbarara Moroto Moyo Mpigi
Mubende Mukono Nakapiripiriti Nakasongola
Nebbi Ntungamo Pader Pallisa
Rakai Rukungiri Sembabule Sironko
Soroti Tororo Wakiso Yumbe
Your Target Group(s):
Boys Girls
Street Children
Battered/ Abused Children
Sexual Abused Children
Child Workers
AIDS Infected Children
Orphans and Destitute
Disabled Children
Child Mothers
Refugee Children
Displaced Children
Children in Armed Conflicts
Other, please specify:
Are you in a position to facilitate community training?
Yes No
Do you have the mechanism to monitor document cases of child abuse within your area of operation?
Yes No
What are your reasons/ expectations for being/ becoming a UCRNN member?
What areas would you like to network with other agencies?
Street Children Issues
Child Rights Clubs
Children's Home
Girl Child
Monitoring Child Abuse
Health
Early Childhood Education
Legal Issues of Children
Resource Mobilization
Exchange of Publications
Counseling and Referral Services
Children's Creative Writing, Drama, Arts
Other, please specify:

Information that you need to know:

Membership is open to indigenous, regional and international organizations, legally registered as NGOs in Uganda and are involved in or subscribe to child right issues.

UCRNN Fees:
  International Agency National Agency CBOs
Membership Fees (once) 150 000/= 50 000/= 20 000/=
Annual Subscription Fees 50 000/= 30 000/= 10 000/=

We will pay our annual subscrption fees on a

Monthly Quarterly Anunal
basis.

We agree that UCRNN will use the given information for the Membership Directory and the NGO Database for improvement of networking.

Yes No