APWLD Organisation Membership Form
To apply for membership please complete all questions and send a copy of the following documents to apwld@apwld.org

1. A brief curriculum vitae and a copy of your passport details page
2. A brief organisational profile (if you were representing an organisation)
3. Endorsement from 1 of our existing members: http://apwld.org/about-apwld/our-members/

If you face any difficulties accessing the form please contact APWLD Secretariat via apwld@apwld.org

Email address
I wish to join APWLD as
Name of Applicant
Kindly ensure all relevant documents mentioned above are sent via email to apwld@apwld.org
Your answer
Nationality
Your answer
Email:
Your answer
Phone Contact (with country and area code)
Your answer
Do you share in APWLD’s purpose and goals?
Your answer
How did you know about APWLD?
Name the organization or individual that has nominated/recommended you to be member
Your answer
Do you consider yourself primarily to be an
*Please specify if other
Required
Please indicate your (individual) area of expertise:
Select all that apply. Please specify if other
Required
Please indicate your organisation's area of expertise:
Select all that apply. Please specify if other
Required
Identify any APWLD activities/projects have you been involved in, particularly in the last 12 months
Kindly note this is a requirement for your application to be considered
Your answer
Name of Organisation
(If applying for organisation membership)
Your answer
Applicant's Position in Organisation
(If applying for organisation membership)
Your answer
Organisation Website
Your answer
Scope of Organisation
Check all that apply
Required
Is your organisation a network?
If yes, how many members does it currently have?
Please specify number of a) female and b) male members
Your answer
Current staff capacity of your organisation
Please specify number of a) total staff and i)female staff ii) male staff (If applying for organisation membership)
Your answer
Postal Address of organisation
Your answer
Address of Office (if different from above)
Your answer
Phone Contact (with country and area code)
Your answer
Fax Number:
Your answer
Email Address
Your answer
Social Media Links:
Facebook, Twitter, Wordpress etc
Your answer
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