Voices for Inclusion

Please complete this form if you want to apply for the Voices for Inclusion project. More information about the project, the selection criteria, and the format for good practice description can be found on the project website. If you have any questions, please contact the project leader: Karin Rozendal – krozendal@lilianefonds.nl Deadline for submission: 19 June 2019

GENERAL INFORMATION

Name of organisation or coalition of organisations:*

Country*

Select

Address within the country*

Website (optional)

Facebook (optional)

Twitter (optional)

Name and position of contact person*

E-mail*

Description of your organisation*

Explain what your organisation or coalition of organisations stands for, what kind of projects/activities you do? (max 300 words)

Please double check if the following hard selection criteria apply to your organisation:

My organisation has a turnover of less than 2 million euros annually.*

My organisation is legally registered in my country, with a working bank account in local currency.*

My organisation has a mission and vision to advocate for an inclusive, non-discriminative society.*

TARGET GROUP FOCUS

Indicate which of the Voice priority groups target with your organisation/coalition. Please tick multiple boxes if you are targeting more than one group.

People living with disabilities

Sexual orientation, gender identity and expression, and sex characteristics (SOGIESC)

Women facing exploitation, abuse, and/or violence

Age discriminated vulnerable groups notably the young and elderly

Indigenous groups and ethnic minorities

NOTHING ABOUT US WITHOUT US

The principle Nothing About Us Without Us is a strong guiding principle for us. Please respond to the following:

Do you have people from the target groups you work with above in your governance structure?*

Yes

Do you have people from the target groups you work with above in your staffing structure?*

Yes

YOUR APPLICATION

Motivation

Why do you want to participate to the Voices for Inclusion Project? Describe in max 300 words. You can also send a short video, with maximum 3 minutes, on your motivation. Please send the video via WeTransfer to: KRozendal@lilianefonds.nl

Please upload the following:*

- Picture of your team - Copy of legal registration of your organisation (or lead organisation in case of a coalition) - Best practice case (using the given format)

Drag and drop files here or

Send me a copy of my responses

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