1. Name of project:

2. Country(ies) where project is active (please include countries outside Latin America and the Caribbean):

3. Date this survey was completed:

4. Organization(s) responsible for the project (please write complete names and acronyms):

Please Note: If this is a regional project comprised of smaller, component projects, please indicate 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 on 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.

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

Mailing address:

City: State: Country:

Tel: Fax: Email:

Web site address:

6. Project summary:

7. Principal project objectives:

8. Date project began (month/year):

Approximate date you expect this project to conclude (month, year):

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

If your project has concluded, please indicate month and year of completion:

9. Principal funder(s): (Please provide the complete name of each funder, listing the 7 most important funders first.)

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

10. Principal accomplishments to date:

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

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

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

14. Project conclusions or final thoughts:

15. Web sites that have further information about this project. (Please provide the site's URL, a brief summary, and if the site is in English, Spanish and/or Portuguese)

Do you have reports and studies related to this project that you can email to interested colleagues upon request? (Please include title, date of publication, how it can be obtained, a brief description, and whether the report is available in English, Spanish and/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.

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