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I4C MENA Activity Report Form
After Organizing an Event, Webinar, Report, Mapping, Campaign or any activity, kindly fill-out this form 3-7 working days after activity end date.
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* Required
What was the name of the (Activity, Event, Campaign, or Publication Name)
*
Your answer
Drop all (Images, Videos, Screenshots) in a Google Drive folder and add link
*
Your answer
Featured Video? Share a video to represent the event (Google drive link)
Your answer
Participants list - Google drive link (Mandatory if applicable to activity)
*
Your answer
Who should Network Members contact to learn more about this activity? ( Contact Person)
Your answer
Activity Type
Training/Workshop
Online Webinar
Campaign
Publication
Innovation festival
Meeting
Sub grant
event
other
Clear selection
Tie to Event? ( is this event tied to a previous event? if yes, please specify)
*
Your answer
Number of trainings/workshops/meetings/webinars in this activity (if applicable)
Your answer
What Hub implemented the activity? Select the hub that helped to organize the activity.
*
I4C MENA Hub
Required
What organization led the activity?
*
Your answer
In what region did the activity take place? (If the event was online, pick the region where the host was based.)
MENA
Africa
LAC
East Asia
South Asia
Central Asia
Pacific
Clear selection
On what date did the activity start?
MM
/
DD
/
YYYY
On what date did the activity end?
MM
/
DD
/
YYYY
Financially Supported By:
*
Tides
CIVICUS
Other
Required
In what country did the activity take place?
*
Your answer
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