The Global Youth Network
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In order to consider your membership of the Global Youth Network, we would like to have the following information about your programme. Please fill this questionnaire

Name of the Programme:
Address:
Street
City
Country
Zip code
Telephone and Fax:
Telephone (with area code)
Fax (with area code)
Website and Email:
Website
Email
Contacts:

Key contact person (name and title)
Admistrator (name and title)
Youth representative (name and title)

What are the objectives/ goals of your programme?
What is your target group?
Age
Gender
Please describe your programme in a few lines:
 
In which way do young people participate in the programme?
 
Which activities are related to drugs?
 
Do you have other areas of activities? If yes specify:
 
How many people benefit from the activities of your programme?
 
How do you reach young people?
 
What kind of methods do you use for your intervention?
 
What do you think is new / innovative in your programme?
 
Your programme was founded in:
Your sources of income are:
Annual budge in US$:
What are the organizations with whom you cooperate:
 
 
 
 Thanks for your interest, we will contact you upon review.
 
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