1. Name of project:

2. Country or countries where project is active: (Please include countries outside the Western Hemisphere.)

3. Organization(s) responsible for the project: (Please provide complete names and acronyms.)

Note: if this is a regional project comprised of smaller, component projects, please provide the name of each component and any available contact information below. We will send each project's director(s) a questionnaire so that each component is featured in the Eco-Index.

If this project is part of a larger regional project, please fill out the project's name and contact information below so that we can send the project director(s) a questionnaire.

4. Name(s) of project director(s):

Address:

Telephone:      Fax:      Email:

Web site:

5. Project summary:

6. Does your organization support graduate-level research projects or accept project volunteers?

7. Geographic coordinates of the project site in latitude and longitude (if available): (Please indicate the location of the project, not where your organization is based. If you do not know the geographic coordinates of the location, please consider visiting the GeoNames Web site.)

8. Principal project objectives:

9. Date on which the project began (month/year):

Date on which you expect the project to conclude (month/year):

Or, is this project permanent? (with luck):

If your project has concluded, please indicate the date of completion:

10. Current funder(s): (Please provide the complete name of each current funder, listing the most important funders first.)

Current annual project budget, in United States dollars, and if available, in local currency. (If the project is concluded, please indicate the average annual budget.)

11. Principal accomplishments to date:

12. Anticipated accomplishments for the next year: (If the project has concluded, this question may not be applicable.)

13. Please describe your project's monitoring and evaluation methodology:

14. Lessons learned from at least one year's work on this project: (Advice you would offer to colleagues interested in starting a similar initiative.)

15. Project conclusions or final thoughts:

16. Web sites that provide further information about this project: (Please include URLs, brief summaries, and whether the sites are in English, Spanish or Portuguese.)

Do you have reports and studies related to this project that you can email to interested colleagues upon request? (Please include titles, dates of publication, how the documents can be obtained, brief descriptions, and whether the documents are available in English, Spanish or Portuguese.)

Please note: you can send your studies and reports to us via email at eco-index@ra.org, or by mailing them on diskette or CD to: Rainforest Alliance, 665 Broadway, Suite 500, New York, NY 10012. We will upload them onto the Eco-Index in PDF format, creating an efficient way to disseminate information about your project.

17. From the list below, please select four categories that best describe this project's main focus:

Agriculture and farming Agroforestry Air pollution Aquaculture and shrimp Arthropods Biopiracy Birds Botany Buffer zone management Captive breeding Carbon offsets Certification, organics and ecolabels Climate and climate change Coastal resources management Communications Community-based conservation (ICDPs) Conservation easements Coral reefs Corridors Ecosystem restoration Ecotourism Energy Environmental education Environmental services payments Fire prevention Firewood Fish, fishing and fisheries Floods Forest resources (non-timber) Forestry Geographic information systems Grants or fellowships Habitat conservation and management Hunting and poaching Indigenous people Infrastructure

Introduced and invasive species Lakes Land tenure Land use Legal issues Livestock, grazing and pastures Mammals Mangroves Medicinal plants and ethnobotany Microenterprises Migratory species Minerals and hydrocarbons Monitoring and evaluation Oceans Parks and protected areas Pesticides and agrochemicals Policy Population (human) Reforestation and tree farms Reptiles and amphibians Reserves, private Rivers and streams Soil conservation and erosion Threat reduction assessment Trade Training Waste management Water conservation Water pollution Watersheds Web sites Wetlands Wildlife management Wildlife research Wildlife trade

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