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
Next
Never submit passwords through Google Forms.
This form was created inside of APWLD. Report Abuse - Terms of Service - Additional Terms