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SECOND FLOOR MEMBER ORGANIZATIONS RESOURCE LIBRARY
Annual Young General Assembly Member Organization Report Form
The Annual Report Form is important to the Young General Assembly. It provides necessary information so a profile of the organization can compiled for requests for funding, media inquiries, and descriptive information. Each Member Organization is required to turn in a fully completed Report Form at the end of each year in order to keep its Member Organization status with the Young General Assembly. Failure to do so by the due date results in dismissal.
1. At the top of the page place the full name and current address of the Member Organization with current telephone, fax, e
mail addresses ( and web site address if available).
2. The purpose of the organization is___________________________(fill in a one or two sentence statement )
3. The Member Organization has _______people under 18 and ______ people over 18. (Fill in numbers)
4. The Member Organization operates on a local___, partially national____, fully national___ or international
scale___. ( Place an x after the appropriate words)
5. The organization’s funding comes from____________________________________________________
(e.g. members, foundations, local government, etc.)
6. Describe any formal relationship the Member Organization has with any United Nations agency______
(e.g., NGO status with Department of Public information. If none, then state “None.”)
7. List the type and focus of Member Organization activities between January 1, 2002 and December 31, 2002.
(e.g., workshop for primary students to educate about HIV/AIDS prevention)
8. State the “Action Area” of any Young General Assembly designed projects from the “Let’s Do it!” books from
2000-2002 initiated by the Member Organization________________________________________________
(The Action Area is printed at the top of all Young General Assembly Project Plans)
9. Describe the number of people involved and the outcomes of the Young General Assembly designed project
the Member Organization initiated_________________________________________________________
(e.g., 45 people set up a community recycling center)
10. State if any of the activities described in 7., 8., or 9. were done in partnership with any United Nations
agencies or the United Nations Secretariat__________________________________________________
(e.g., The child rights workshop was done in partnership with UNICEF or None were in partnership with the
UN)
11. Describe any paper or statement the Member Organization submitted to a United Nations agency or meeting
________________________________ (write “None” if no paper or statement was submitted)
12. Name of any non-governmental organizations and governmental departments with which the Member
Organization partnered._______________________________________________
(All organizational names must be spelled in full. No acronyms are to be used except for United Nations
agencies (e.g., UNICEF UNDP)
13. Include the full name and title of the person or persons preparing the report at the bottom of the last page.
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