SNG Membership Registration From

A. BACKGROUND INFORMATION
A1. Full Name of organization/Applicant: *
Passport Picture of Key Person

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A2. Type of Organization (Please Tick where appropriate): *

Local National International
A3. Service Category of Organization (Please Tick where appropriate): *

NGO Advisory and Consultancy Financial Services Market Linkages Processing Companies and Factories Research institution Producer Groups, Association and Networks Shea Training and Technical service providers Logistics, Transport, Freight Forwarders Cosmetic Processors
A4. Year of Establishment:
A5. Registration Number of Business:
A6. Postal Address:
A7. Physical/Location Address:
A8.1 Key Contact person information - Telephone:

A8.3 Key Contact person information - Email Address:
A8.2 Key Contact person information - Fax Number:

A8.4 Contact Person, Position & Address/ Mobile No.
B. ORGANIZATION’S OPERATIONS AND SHEA ACTIVITIES
B1. Vision:
B2. Mission:
B3. Programme and Projects of Organization/Individual:
B4. Region of Shea Activities:
B5. Names and Number of Districts Covered:
B6. Number of Communities:

B8. Total Number of Clients:
B7. Number of Groups:

B9. Number of Processing Centers:
B10 . What are the specific assignments carried out in shea?
B11. What are the main problems facing your shea activities?
B12. What key advocacy issues will you suggest the Network to pursue to ensure sector reform?
B13. Contribution to shea sector in Ghana (How will your organization contri bute to the development of the s hea sector and the Network?)
B14. Expected Benefits from the Network (What will your organization expect from the Shea Network Ghana?)
C. Commitment:
Name of Head/Representative of Organization: *

Shea Network Ghana

A. BACKGROUND INFORMATION

B. ORGANIZATION’S OPERATIONS AND SHEA ACTIVITIES