Civic Space Snapshot – Client Request Form

1. Client Information

Organization Name*

Primary Contact Person Name*

Primary Contact Person Title*

Email Address*

Phone / WhatsApp *

Preferred Method of Contact

Client Country*

2. Purpose of Request

What is the primary reason for requesting a Civic Space Snapshot? *Check all that apply

Program design (before launching/expanding activities)

Advocacy or policy engagement

Risk management / compliance

Donor or partner due diligence

Other

3. Scope of Assessment

Country of Assessment*

Scope of Assessment *Select one or more

National-level operating environment

Regional/provincial/local-level operating environment

Specific sector focus (e.g., media, women’s rights, youth, humanitarian)

4. Dimensions to be Covered

Dimensions to be Covered*Check all that apply

Legal & Regulatory Profile – association law, registration pathways, funding rules

Enforcement Practice – how laws are applied, restrictions in practice

Digital Environment – surveillance, online freedoms, cyber laws

Security & Policing of Protest – assembly rights, state responses

Near-Term Scenarios – risks/opportunities for civic space over the next 6–12 months

5. Documentation / Sources Availability

If you have any existing documents or materials relevant to this request, please briefly describe them or indicate if they can be shared.

6. Intended Use of Findings

Briefly describe how you intend to use the Snapshot findings

7. Priority Questions of Inquiry

Please list up to three to five key topics, observations, or questions that are most important for this Snapshot to explore.

8. Stakeholder Access

Are you able to connect us to 2–3 local stakeholders for short interviews?

Yes

Maybe

I confirm the above information is accurate to the best of my knowledge.

Disclaimer: Submission of this form constitutes an expression of interest only. It does not create a contractual obligation or formal commitment for either the client or IREGS World. Any engagement will be subject to a separate service contract and agreed Scope of Work.

Your information will only be used to process your request and will not be shared externally.