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Questionnaire Projects concerning Social Exclusion / Social Integration

This questionnaire is to be used for describing projects concerned with Social Exclusion and Social Integration. Social Exclusion may refer to many phenomenon including economic exclusion (unemployment, lack of access to assets such as property or credit,...), social and cultural exclusion (status in society, loss of links to mainstream society,...) and political exclusion (deprivation of political and human rights, discrimination based on gender,...).

Name of the Organisation and Responsible of the Project:.....................................................

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Country:............................... Region:...................................... City:...................................

Project title:..............................................................................................................................

Project type (governmental, non-governmental, municipal,...): Staffing of the project:..............................................................................................................

Working language(s):...............................................................................................................

Starting year and Duration:......................................................................................................

Geographical area covered:.....................................................................................................

Budget:.....................................................................................................................................

Funding Sources:.....................................................................................................................

Target group(s):.......................................................................................................................

Type(s) of exclusion dealt with:................................................................................................

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Please state the main objectives of the project:

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Short description of the project (you may send existing documentation): ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .......................................... ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................

Please state the main subject fields of the project in keywords:............................................ ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................

Briefly describe the strengths of the project:

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Please assess the weaknesses and risks of the project:

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Why do you consider this a successful project? ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................

Practical issues (please fill in if applicable in your case):

• Problems encountered: ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................
• Conditions for successful replications / Reasons for a failed attempt of replication: ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................
• Unresolved issues: ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. ................................................................................................................................................. .................................................................................................................................................

References to publications (please give full bibliographic details) and research institutes involved in the project:

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Name of the Project Leader:..................................................................................................

Organisation:..........................................................................................................................

Address:....................................................................................................................................................................................................................................................................................

Telephone:...............................................................................................................................

Fax:..........................................................................................................................................

E-mail address (if any):............................................................................................................

Partner organisations involved in this project (if any):

Name:....................................................... Name:..................................................................

Address:................................................... Address:...............................................................

Telephone:............................................... Telephone:...........................................................

Fax:..........................................................Fax:......................................................................

E-mail address:......................................... E-mail address :...................................................

You are invited to send us any additional information on your project, work or organisation you might think to be useful. The collected experiences will be widely diffused via the MOST Clearing House on Internet and in printed form.

Completed by: ____________________ _____________ _______________

Name Date Signature

Please return completed form to:

UNESCO
MOST Secretariat
Paul de Guchteneire
Fax: + 33 1 45 68 57 24
E-mail: p.deguchteneire@unesco.org

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