ORGANIZATIONAL PROFILING INSTRUMENT

A. BASIC INFORMATION

Name of
Organization:
Name of Organization
(English):
Acronym of
Organization:
Address:

Countr
y:
Area of
Operatio
ns
Contact Website (if Email:
Information: any):
Telephone (include country Telefa
code): x:
Contact
Person:
Telephone (include country Email:
code):

Organization Type

Civil society organization (CSO) University-

based/academic/research org.
International nongovernment org. Oversight bodies/committees
National/Central government Private sector groups
Local/Sub-national government Others
(specify):
Donor organization
Media organization

B. BACKGROUND

Year Registered with government/Has legal Yes No

founded: personality?
Name of
founders:

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Reasons/Impetus for founding:

Organizational Mission and Vision

Mission

Vision

Objectives

Areas of
Expertise
(Major
Programs)

Organizational Structure

Se Years in
Name Position Education Background
x Position

What is the length of term yea

of office? rs
(numb

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 er)

How many terms are term

allowed? s
(numbe
r)

Organizational Structure (illustrate):

Major Achievements of the Organization in the Past Five (5) Years:

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Human Resource/Staffing

Number of full-time staff (tick one): Number of volunteers (tick one):

05 05
6 10 6 10
11 15 11 15
16 20 16 20
Over 20 Over 20

Staff Structure

Project/C Years
Educl. Work
ore Name of Ag Se with
Position qualific experience
program staff e x the
ation / expertise
staff org.

Sources of Funds (in US$)

a. Membership fee (if any): __________

b. Fee for service:

Name of specific services (e.g. consulting, Amount

subcontracting, etc.)

c. Grants (for the past 3 years):

Name of Donor Partners Amount

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Approximately what is your organizations total annual budget?(tick one)

Below US$100,000
US$100,000-250,000
US$251,000-500,000
US$501,000-750,000
US$751,000-1,000,000
Over US$1,000,000

C. PROGRAMS AND ACTIVITIES

Geograp
Name of Area of Durati Populati
Donor hic Amount
Program/ interventio on of on
agency coverag of fund
Project n proj. covered
e

Please tick the SECTOR(S) for /in which you operate or implement projects:

Education Urban poor

Health Agriculture
Environment/Natural resource Democracy and
management decentralization/citizen engagement
Rural development Private sector development
Local Governance/Government Others
(specify):
Public infrastructure

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Do you work directly in/with the communities? Yes No

Please list the networks or coalitions in which your organization is

represented as a member.

Indicate network/coalition
coverage
Since
Name of Network/Coalition (pls. check)
when?
Sub- Country Regional/
country Global

Is your organization certified by or a member of any NGO accountability or

regulatory agencies like Philippine Council for NGO Certification (PCNC),
Humanitarian Accountability Partnership (HAP), etc?

If yes, which agencies?

______________________________________________________________

Since when? ________________________

D. ASSESSMENT

Status of your organization with regard to Social Accountability (SAc)

activities (tick one):

Ongoing implementation of SAc Since

activities when:
Starting SA activities (plan for current year in place and being implemented)
Interested to start SAc activities

Please tick the main areas of SA activities your organization is involved in:

a. General SAc Activities

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 Name of Partner Organizations/Institutions
Activity CSOs/Citizen Groups Government
Institutions

Civic engagement

Communication and

use of media

Social audit

Local
grievance/Dispute
resolution mechanisms

Coalition building

Others (specify)

Challenges encountered in conducting the above activities (highlight at least

3):

What are the outcomes of these activities (highlight at least 3):

Has the initiative been:

Replicated? (e.g. conducted in at least 3 other areas)
Sustained? (e.g. an ongoing activity)
Scaled up? (e.g. from local to sub-national or national)

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This is to certify that the above information is true and correct.

Signature above printed name

Date accomplished

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