EU Internet Forum: Civil Society Empowerment Programme (CSEP) Registration Fields marked with * are mandatory. * 1. Would you like to use this form to: Register for the Civil Society Empowerment Programme network? (obligatory if you plan to submit a proposal for CSEP funding); Registering with the CSEP network will see details of your organisation published on the RAN CSEP webpage. This will increase transparency of the organisations involved in the network, and should also help you find potential partners for any future funding opportunities, whether at regional, national or international level. The database may also inspire you to see how other organisations are engaging in alternative/counter narrative work to address radicalisation. By filling out this form, you grant the RAN CoE permission to publish your details on the RAN website. Details of your organisation s name, country, website, contact person (and function) and e- mail address will be published, along with social media accounts, links to previous campaigns, and the areas in which your organisation is active. Being part of the network and having your details published does not give your organisation any advantage when applying for funding and/or participation in future RAN activities. Register for CSEP training? Please see here for future training opportunities. Subscribe to the CSEP newsletter? The European Commission s privacy statement on the protection of personal data [PDF] * 2. Country: Afghanistan Albania Algeria Andorra 1
Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Côte D'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic 2
3 Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya
Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis 4
Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Tanzania Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu 5
Venezuela Viet Nam Yemen Zambia Zimbabwe * 3. Name of your organisation: 4. Contact Person: Contact person s name: Function: 5. Contact details Address: Telephone: * 6. Email: 7. Website link: 8. Social media account links: Up to three links can be provided. Please use a semicolon [;] between the links. 6
9. Logo: The maximum file size is 1 MB * 10. For which training session would you like to be considered? between 1 and 1 choices Greece / Cyprus Thursday 5 October Hungary Thursday 5 October Belgium II Thursday 12 October Germany II Tuesday 17 October Czech Republic Tuesday 24 October Bulgaria Tuesday 19 October * 11. Type of organisation (select as many as appropriate) at least 1 choice(s) Civil society organisation Community organisation Voluntary organisation Independent practitioner Public body International Organisation Think Tank Academia/researchers Internet/Tech company Communications/marketing company/consultancy Creative agency Student organisation Education/Training Other * Please specify * 12. Organisation s area of expertise Please select up to 5 keywords that reflect your organisations area of expertise, activity and target audience between 1 and 5 choices Children 0-12 7
Youngsters 12-18 Young adults 18-25 Adults Families Communities First-line practitioners Social work Youth work Education sector Health sector Police Prison and probation sector Victims of terrorism Marketing and Communications Strategic communication Public Relations Design, creative Right wing extremism Religious inspired extremism Left wing extremism Polarisation Prevention of radicalisation Inclusion and social cohesion Discrimination and xenophobia Hate speech and hate crime Media and digital literacy Counter-terrorism Other * Please specify * 13. Approximate number of staff: 0-10 10-20 20-30 30-40 40-50 50+ * 14. *Approximate number of volunteers: 0-10 10-20 20-30 30-40 8
40-50 50+ * 15. Geographical reach: Local Regional National * 16. Main objectives and main activities in the field of prevention of radicalisation: * 17. What is your experience in offline and online communication with your target audience? * 18. Which challenges do you face in running your counter / alternative narratives? * 19. What would you like to learn during the training seminar? What are your needs with regard to online campaigning? * 20. Do you know of any inspirational campaigns or credible voices, or do you have any relevant handbooks in your language that you would recommend? 9
21. Do you have any comments? 22. Link(s) to existing counter or alternative narrative work or CVE campaigns online: Up to three links can be provided. Please use a semicolon [;] between the links. * 23. Does your organisation receive funding from EU funding programmes or national funds? Yes No Please provide details: (this information will not be published) 10