Questionnaire for NGO Assessment

1. Name of the Organization 2. Address 3. Contact details Telephone Fax e-mail 4. Year of establishment 5. Registration status a) NGO Affairs Bureau b) Social Welfare c) Others 6. Name and designation of the Chief Executive : : : : : : : : : :

7. Names and professions of the Board Members of the organization : SL 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Name(s) Profession

organization: 8. Brief description of the organization:

Mission:

Goal:

Issues working with:
9. Total number of staff : 10. How many of them are : counterWorking in the counterTrafficking section/project 11. Geographical coverage Sl. District : Thana Thana Village/Union Total Male Female

Total

Male

Female

Counter12. Received any training on Counter-Trafficking: If yes, please specify the followings : Name of the staff Member Name of the training

Yes

No

Organized/ Conducted by

Counter13. How long you are working in Counter-trafficking field : Counter14. Project/Activities on Counter-Trafficking (Previous and Present) : Sl. a. b. c. d. e. f. g. h. Name of the Project/Activities Duration Name of Donor(s)

counter15. Do you need any further training on counter-trafficking : 16. If yes, please mention reason and topics : • • 17. Does your organization have any experience to work with/for the rescued victims of trafficking have 18. Does your organization have close contact with Local govt. other NGOs and CBOs

Yes

No

:

Yes

No

:

Yes

No

19. Does your organization have any setup for providing training for income generating activities (if any) :

1. 2. 3.

Counter(if 20. Any other achievements/ experience on Counter-Trafficking (if any) : 1. 2. 3. 4. 5. 21. What is the gender consideration within your organization: (Gender in Project cycle management, gender policy) 22. What is the status of the organization audit : report(Please enclose audit report, management report- if any) 23. What is the source of funding : 24. Who are the current donors : 25. What is the financial management system of your organization A. Rules and regulations:

B. Procedures:

C. Accounting system: 26. Time and date of the interview : 27. Place of interview :

_____________________ Signature of Information Provider Name: Designation:

____________________________ Signature of Information Controller Name : Designation: