(downloadable version of the question list of joining)

Information sheet of the workshops wishing to join the international network of the social street workers.

A. Name of the workshop ( collective or national network of street workers) or of the structure (association, federation, …)

- Name of the coordinator:
- Address:
- Phone:
- Fax:
- E-mail:
- Website:
- Legal statute:
- Creation date:
- Developed activities:
- Names and address of the members of the workshop:

B. Are you member of a collective of an international network ?

0 YES / 0 NO

So YES which (Please explain the objectives and the actions?).

C. Which are your specific expectations compared with the international network of the social street workers?

D. Which are your financial and/or technical partners?

To fill if the workshop doesn’t exist yet.

E. Do there exist other actions carried out by people or structures in favour of the people living in the street?

0 YES / 0 NO

F. Exist there a collective or a national/local network of streetworkers ?

0 YES / 0 NO

G. If there is not framework or collective of exchanges, do you find that necessary?

0 YES / 0 NO

H. If YES, which strategy do you hope to implement ? If NO, why ?

By the present one, I, undersigned, state to have taken knowledge of the charter of the international network of the social street workers, suscribe to it and I undertake to respect it like all the members of the workshop.

Signature :
Name in capital letters:
Space:
Date:

(downloadable version of the question list of joining)