Organisation Assessment Order Number General The information below provides a brief overview of your organisation and allows us to assess the kind of support it needs. All information provided will remain confidential and will not be shared with third parties. Name of Organisation * Address * If the organisation operates at other sites in addition to the above, please attach list. Phone * Email * Website Director/Head of organisation * Contact Person * Title * Contact person phone Contact person email * Year organisation was founded * Is your organisation registered in Lebanon? * Yes No Organisation Registration Number (if any) Number of board members * Number of paid staff * Full Time Part Time Number of volunteers/interns * Full Time Part Time What is the broader objective of your organisation? * What is the composition of your staff? Please state the roles of each person: * 1/6 Mission & Vision 1. Does the organisation have a written Mission Statement? * Yes No 2. Has your Mission Statement been reviewed within the past three years? * Yes No 3. Does your organisation have a vision and strategy for the upcoming year? 5 years? If yes, please describe vision or attach a written strategy plan. * 4. If reviewed, was your Strategy Plan (check all that apply) * Approved Updated or substantially revised 5. In planning and evaluating initiatives and programmes, do your board and staff refer to the Strategy Plan? * Yes No 6. Does your Strategy plan reflect the current needs of your community? * Yes No 7. Please list your current/ongoing projects and activities * 2/6 Administration and Financial Management 1. Total operating budget for current fiscal year * Last three fiscal years Second year Third year 2. Who is managing the finance of the organisation? * 3. Does the organisation have written financial management procedures covering such matters as (check all that apply): * Expenditure control Check signing and check writing authority and signature control Financial reports Purchasing 4. Does the organisation have a financial management system with a clear audit trail of income and expenses? * Yes No 5. Are required reports submitted to funding sources in a timely manner? * Yes No 6. Does the bookkeeping system include the following (check all that apply) * General ledger Books of original entry (journals) for cash receipts Cash disbursements general payroll Petty cash Subsidiary records: accounts receivable and accounts payable 7. Are bookkeeping entries posted promptly? * Yes No 8. Are there restricted access cabinets for accounting records? * Yes No 3/6 Funding 1. Does the organisation have a fund development plan in place? * Yes No 2. Does the organisation have a diversified funding base? * Yes No How many donors/fund does the organisation have this year? Last Year? Please list. * What percentage of the organisation’s funds is derived from staff or board of the organisation? What percentage of the organisation’s funds come from individual donations, not including staff or board members? * 3. Does the organisation have a contingency plan so that, if a particular source of funds is withdrawn or severely cut back, this would not imperil the organisation’s existence? * Yes No Please explain: * 4. Who is responsible of fundraising efforts? * Board Staff How many paid staff work on fundraising full time? * Part time? * 5. Have staff and/or board members participated in training during the past year to increase their skills in fundraising? * Yes No 6. Does the organisation have sufficient income to meet expenses? * Yes No What is the percentage of restricted funds (income that can only be used for a specific purpose)? Percentage of unrestricted funds 7. Has the organisation had to decrease staff and/or programmes any time during the past 5 years due to lack of funding? * Yes No 8. Does the organisation take advantage of any of the following types of resources (check all that apply): * In-kind donations Interns Volunteers Pro-bono services Facilities/other resources shared with other organisations 4/6 Communication 1. How do you communicate with your audience? * 2.Who are your primary audiences? * 3. What is the contact email address of the organisation? * 4. Do you promote your activities? How? * 5. Which Social Media platforms is your organisation active on? * 6. Who manages your communication and content? * 5/6 Incubation In order to serve you better, please specify all needed details for what type of incubation is needed by Lebanon Support below. 1. What type(s) of training does your organisation require? (Check all that apply) * Organisational Management Human Resources Finance and Admin Management Fundraising Project Cycle Management Proposal Writing Mission, Vision and Strategy Communication Strategy Information and Communication Technology Research Methodology Gender Integration and Sensitivity Conflict Sensitivity 2. Is there a particular project or department of your organisation that will be receiving incubation? Please specify and describe, if applicable. * 3. What are the identified strengths and weaknesses of the project / department / organisation being incubated? * 4. What does your organisation hope to achieve from its trainings from Lebanon Support? * 5. Is there anything else we should know about your organisation before incubation? * 6. Are you authorised by your organisation to fill in this registration form? * Yes No 6/6