GENSEN - Home

MEMBERSHIP FILE

REGISTRATION FORM

1. Ecovillage ______________________ 2. Date of membership_______

3. Organisation __________________________ 4. Legal status____________________

5. Relationship between the Ecovillage and the'Organisation____________________________

6. Directors_________________________________________

President___________________________________________________

Treasurer___________________________________________________

Secretary___________________________________________________

7. Number of subgroups______________________________________

If several subvillages, please show an organogram, Annexe 3

8. Founding date of ecovillage/organization_____________ 9. Number of members ____

10. Summary of main objectives and activitiesActivités :____________________________

______________________________________________________________________

11. Location and Address : ______________________________________________

______________________________________________________________________

POBox

Telephone

Fax

Internet Site

Questions from this point on are optional. They are intended to help us with fundraising
and understanding the nature of the network .

12. How did you learn about ecovillages and the network ?

Internet, press, radio, friends

Others source if any____________________________________________________

13.Do you have partners or sponsors________________________________________

14.If so, who and in what context?__________________________________________

15. Do you offer training or other services? _______________________________________________________________________

If yes, please descripte in annexe 8.

Annexes

Annexe 1 : Description of location.

Annexe 2 : List of members

Annexe 3 : Management structure

Annexe 4 : Mission

(vision et résumé des objectifs et des activités) Annexe 5 : Statuts

Annexe 6 : Statutes

Annexe 7 : Code of conduct

Annexe 8 : Partners

Annexe 9 : Outreach strategy