Registration form Women for Water

How do you get into the Women for Water database?
Are you - or do you work with - a community based (women's) organization? To become a participant simply fill out this form!
Answer all questions as clearly as possible. Make sure the information you give us is as complete as possible, so we can pass on correct information to others. You don't need to be on Internet to qualify.

The only cost to you is the time to fill out the form below.

 Fields marked by * are required.
Name organisation*
First name contact person*
Last name contact person*
Address* - street and number or P.O. box
Visiting address - if different from postal address
Zip/Postal code*
Web site
Business hours
Main goal of your organization*
 Water project
If your organization wants to share information on their water project please fill out the rest of this form.
Name of the water project
English translation
Partners involved? yes no
If yes what are they?
 governmental organization  (semi-) private organization
 non-governmental organization (NGO)  community based organization
 international organization
Name of the partner/partners
Is the leading organization a women's organization? yes no
The project is funded by
 donor government(s)  private sector
 international organization(s)  self-funded
 financial institution(s)  none
Starting date of the project - yy-mm-dd
Final date - yy-mm-dd
Focus of the project
 business development  privatisation
 crop production (increase)  reduction of waterborne diseases
 drinking water (improve access to)  river basin management
 education/training/awareness building  sanitation (improve access to)
 employment/jobs  save time
 empowerment  social meeting opportunities
 health and hygiene (improve)  waste water re-use
 income (increase)  water for industry
 institutional reform  water for housing
 irrigation/agriculture  water management (integral)
 nature conservation  water quality
 organization of water users/empowerment  water storage
 partnerships  water treatment
Short history and description of the project
including background, goal, size, estimated effect and lessons learned (max.200 words)
Number of employees*
Number of volunteers*
 advocacy  lobbying
 brokerage  publishing
 consultancy  research
 exhibitions  symposia
 lectures  training/education
Name the most important languages in your project.
Do you have a collection on the subject of women and water? yes no
If yes please specify
Do you have published documentation available on your Women and Water project? yes no
If yes, please give a brief description of documentation
title, author, place of publication, publisher, price
Do you have documentation available on a website? yes no
If yes please state URL
Do you want your project published in the public domain (free accessible) of our database? yes no

For questions or more information please contact: [email protected]