Community of Practice Form

Organisation Information

Name of Organisation *

What is the official name of your organisation

10 words left

Type of organisation *

What kind of organisation are you?

Local community organisation

Deliberative democracy practitioner

Public participation organisation

University think tank or research institute

Human network

Other

You have selected "Other" in the previous question. Please describe what kind of organisation you are *

Where is your organisation based?

Address 1 *

City *

Country *

Share with us at least one link that will help us understand you better *

for example, your organisation’s website, a social media profile, a video, or pictures of your community

How many people work for your community organisation? *

how many people (paid staff and volunteers) are working full-time in your organisation?

1-2 full-time equivalent

3-5 full-time equivalent

6-10 full-time equivalent

> 20 full-time equivalent

How would you describe the activities and purpose of your organisation? *

Please briefly introduce to us our organization’s activities and values or purpose.

Is there any other information you would like to share about your organisation and your community?

Primary Contact

Name

First Name *

Last Name *

Age

This form is not intended to collect the information of individuals under the age of 16.

Role *

State your formal title in the organisation

10 words left

Email Address *

Phone Number

We will only be using your phone number if you wish to be contacted via phone.

Secondary Contact (Optional)

Name

First Name

Last Name

Age

This form is not intended to collect the information of individuals under the age of 16.

Role

State your formal title in the organisation

10 words left

Email Address

Phone Number

We will only be using your phone number if you wish to be contacted via phone.

Involvement in the Community of Practice

Here are some possibilities for engagement in the CoP. Please indicate which you would be interested to support on and let us know if you have other ideas:

Support the development of instructions and protocols (standards) for the Core Assembly and the Distributed Events.

Translating information materials to support the contextualisation of information to targeted languages

Run Distributed Events in your community using the GA Tool Kit.

Outreach to Community Hosts, mobilising your organization's network and community partners

Support the recruitment of facilitators, activating your community and network to recruit facilitators for the Core Assembly and the Distributed Events.

Host the training of facilitators , together with the GA Core Team. Your organisation will support the development and translation of the handbook for Community Hosts and facilitators.

Other

You have selected “Other” in the previous question, please explain further *

On June 24, we selected 100 points on the globe by Sortition. The 100 points produced by this Sortition Check the sortition map and learn more from here.

Are you located near any of the 100 points on the GA sortition map? *

Yes

Near which point are you located? *

How close you are from that specific point ? *

Within 200km radius

Further than 200km radius

Contact Details

What secondary channel you would like us to use for communication? *

Email is the primary channel of communication

Phone

Viber

Other

None

Please tell us how do you prefer to be contacted *

25 words left

How did you hear about the Global Assembly *

Select all that are appropriate

Social Media

News Outlet

Other Media Outlet

Another member of your community

Other

Please tell us how you heard about the Global Assembly

25 words left

Would you like to receive updates about the Global Assembly? *

Yes