Attachment B - RFI No 72039124RFI00003 - Participation in Customized Locally Focused Workshop Series - USAID Pakistan.docx

Request for Information (RFI) 72039124RFI00003 To Deliver Customized Locally Focused Workshop Series on “How to Work with USAID” Attachment B

REQUEST FOR INFORMATION (RFI)

ATTACHMENT B:

Local Organization Information Form

A. Please fill out the following sections of this form:

1. Name of organization including office address, city, telephone numbers, email and website:

2. Name and title of organization’s focal person, contact number and email address:

3. Registration Status of your organization:

(a) Is your organization legally registered as per the law of Pakistan? (Answer with Yes or No)

(b) Under which local law is your organization registered?

(c) Date of organizational registration:

4. Geographic Focus that your organization is working in (Select all that apply by drawing a circle around your selection)

Punjab KP Sindh Balochistan

Gilgit Baltistan Islamabad

5. Your sector expertise is in the field of (Select all that apply by drawing a circle around your selection and/or in case none of the options apply, write your sector expertise against ‘others’. ):

Agriculture Governance Others: ___________________________

6. Your area of expertise (Select all that apply by drawing a circle around your selection and/or in case none of the options apply, write your area of expertise against ‘other’.)

Capacity Building Training Community Mobilization Policy Analysis

Advocacy Outreach Research Monitoring and Evaluation

Digital Development Private Sector Engagement Technical Assistance

Others: ___________________________

7. Please list and provide details of the last five ongoing or completed projects that your organization is directly responsible for:

With Start Month/Year and End Month/Year

Project Value in PKR Donor Source of Funding

8. Please respond to the following questions:

Q1. Will you be interested in attending a workshop on “How to Work with USAID/Mission Pakistan.” (Answer with Yes or No)

Q2. If your answer to Question 1 is yes, are you willing to bear the cost associated with traveling and accommodation to either one of these locations (Answer with Yes or No and if Yes, Select the one that apply)

Lahore Karachi Peshawar Islamabad

Q3. Is there any topic/concept/theme that you would like us to include in our series of workshops?

Q4. Have you received a USAID direct award or sub-award before? (A direct award is a grant or agreement between USAID and the organization, called the prime award. A subaward is a grant or agreement between the organization receiving the prime award and another organization for purposes achieving the work as outlined in the prime award’s agreement.) If yes, please provide the type (direct prime or sub) and number of awards.

Q5. Do you have your valid Audit reports for the last three years? (Answer with Yes or No. This is for information purposes only.)

Q.6 Briefly describe your organization’s structure including staffing.

Q7. Kindly provide a success story that outlines the achievement of your organization in your field of work. Please limit this success story to one page only.