[CS Bureau] FINAL Reminder - CSB Questionnaire

[Robert Guerra]

Please note that only the following focal points  have replied to my 
earlier messages in relation to the CSB member survey. If you are 
listed below - then, thanks, and no need to reply to this message...

- North America & Europe
- Youth Caucus
- Cities & Local Authorities
- Union Family
- Disabilities
- NGO Family
- Gender Caucus


If you are not listed above - Please reply by today, June 15th

regards

Robert

#### Survey of CSB Members ####

### Personal Information ###

Name:



Address:

Country of residence:

Tel:
Fax:
e-mail:
URL:

- Please send digital photograph (if possible)

### Organizational Information ###

Name of  Organization (to which accredited @ WSIS):
Date organization established:
Legal Status in country:

Mission:

Address:

Location of main office(s):

Country:

Tel/Fax
email
URL


### WSIS Specific Information -

* Date your organization was accredited to the WSIS Process
   (ie. what was the first WSIS meeting your organization attended)

* Date & Place where your organization was selected as family focal point:

* Languages :

a. Spoken - ( ) English, ( ) French, ( ) Spanish, ( ) Other, please specify
b. Written - ( ) English, ( ) French, ( ) Spanish, ( ) Other, please specify
c. Read -    ( ) English, ( ) French, ( ) Spanish, ( ) Other, please specify

Note: I don't think we've done a language survey before. I'm doing it 
to have on file, and to make sure we can plan for the necessary 
resources in the future.

Outreach:

* Meeting, events,conferences and/or publications which your 
organization has been involved with and/or planned that is related to 
WSIS

* Meeting, events,conferences and/or publications  which your 
organization is planning (in the future)  that is related to WSIS





-- 
###
Robert Guerra <rguerra at privaterra.org>
Privaterra - <http://www.privaterra.org>