Questionnaire 2

About solidarity organizations with no archival material

Fill this out if you were involved with or have knowledge of a solidarity organization that supported African struggles for freedom but you do not have any material produced by the organization.

Section One - Information on the Organization

(This material will be used to create a public directory of organizations and individuals involved. Please provide as much information as possible and answer all relevant questions. You can provide additional information later. A printed version of this questionnaire is available. We reserve the right to edit material placed in the directory.)

1.
Name of Organization:
Organization's acronym, if any:
Period of activity:
Start: To:
2.
Does this organization still exist? Yes No
If no, location where organization was based:
City: State:
If yes, please provide current contact information:
Contact name:
Address:
City: State: Zip:
Phone: Fax:
Email: Web URL:
3.
Description of the organization: (such as student, church or community group, national organization, chapter of a national organization, etc. For example “student group at ABC College.” If it was a coalition, please list the member organizations.)
4.
Area of operation in the U.S.: (Provide city or cities, state or states, or if national)
5.
Africa country focuses: Angola, South Africa, Zimbabwe, etc)
6.
Is/was this organization focused exclusively on Africa?
Yes No
7.
Please give a brief history. (Types of activities, campaigns, key players, key goals & achievements.) 350 words maximum. If you wish to write more, please do so in a separate e-mail.
Name changes: If the organization changed its name, please give prior names and date of change)
8.
Areas of activity: (Please check all applicable items)
Struggles for independence (list countries)
Democracy & human rights (provide countries and details)
Economic justice (provide details)
Provision of materials or other assistance (provide details)
Other (provide details)
South Africa:
Divestment Bank Campaign Sports Boycott Cultural Boycott Sanctions Political Prisoners Forced Removals Labor Rights Others (please specify)
9.
Other information: (Additional relevant information not covered above, 200 words maximum.)

Section Two - Respondent Information

(This information is for use of the project only and will not be made public without first received permission from you.)

1.
Name and contact information of person filling out this questionnaire:
Name:
First Middle Last
Organization:
Address:
City: State: Zip:
Daytime phone: Evening phone:
Cell: Fax: E-mail:
2.
Please describe yourself and your role in the organization. (Examples "I was coordinator from 1975-1981" or "I was an active member")
3.
Would others have any material produced by this organization?
Yes No
4.
Would you or another member be willing to write an historical remembrance about the history, activities and achievements of the organization?
Yes No
5.
Other individuals involved in the organization: (If you have more than one name to suggest, when finished filling out the form go to the questionnaire "Suggested Contacts.")
Name:
First Middle Last
Organization:
Address:
City: State: Zip:
Daytime phone: Evening phone:
Cell: Fax: E-mail:
6.

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