WARSAW REGIONAL NGOs CONGRESS 
Warsaw, 24-26 March 2006

APPLICATION FORM 

Eligible are only participants from: 
Belarus, Estonia, Germany, Ukraine, Latvia, Lithuania, Poland and Russia

Part I: Applicant’s personal data
Name and Surname:		
Date of birth:		Passport number:		
Nationality:		Telephone:		
Street:		E-mail:		
City/Postcode:		Country:		

Part II: Details of the applicant’s sending organization
Name:		Telephone:		
Street:		Fax:		
City/Postcode:		E-mail:		
Country:		Website:		

Part III: Profile of the sending organization
Activity level (underline):	local	regional	national	international	
Please give a short description of your organisation: 

	
Main partner organizations from abroad if any: 

	

Part IV: Please specify your preferences (write numbers from 1 to 3) concerning the workshops:

On Saturday 25th March:
	
On Sunday 26th March:	
The NGO sector in democracies on the move
НПО в развивающихся демократиях		The European Neighborhood Policy towards Belarus and Ukraine
Соседская европейская политика в отношении Беларуси и Украи		
Supporting the NGO sector in Belarus
Поддержка НПО в Беларуси		The role of political foundations in the democracy building process
Роль политических фондов в строительстве демократии		
Working at the European level
Сотрудничество на европейском уровне

Сессия проводится только на английском языке		Strengthening movements for Human Rights and civil society in Belarus, Poland and Ukraine
Укрепление движения за права человека и гражданского общества в Беларуси, Польше и Украине.		

Part V: Please choose main areas of your activity/interest for the need of networking session (mark ONE)
Environment
		European awareness and activities		
Youth & Education 
		International relations 
		
Culture
		Human rights
		
Media and social communication		Other (specify):

………………………………………		

Part VI: Additional information
	
Indicate the level of knowledge of the official languages of the Congress? (1-no knowledge; 5- fluent)

English
	
Russian	

1	
2	
3	
4	
5	
1	
2	
3	
4	
5	

Where did you find out about the Warsaw Regional NGOs Congress?

	

If you need a VISA please indicate the following information on the basis of which we will send you an invitation:
Passport number:		Passport expiry date: 		
Issued at (Place):		Date of issuing:		
Address of the nearest Polish Consulate:		

City and date: 

Important note: 
1.	This form has to be sent to applications@pulaski.pl until 25th of February 2006.
2.	The organizers cover accommodation and meal costs of all accepted participants.
3.	For participants from Belarus and Ukraine travel costs will be reimbursed up to €50.