JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Membership Form
Welcome to AERWA – Embassy/Kinshasa
We are pleased you are considering membership in AERWA here in Kinshasa. The Board of Directors is focused on bringing services and hosting events to help make your stay in Kinshasa a bit simpler. We understand that your AERWA experience at other posts may have been different than our AERWA operations here. The Board of Directors has worked closely with the Management Counselor, the Deputy Chief of Mission, and the Ambassador in order to provide services which the Embassy has concluded cannot be provided directly as a benefit of employment. We appreciate your support and look forward to expanding the AERWA operations to meet your needs.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Primary Member
*
Please provide your first and last name.
Your answer
Eligible Family Members
Please provide the name of your Eligible Family Members. This section may be left blank if you are signing up for Individual Membership.
Your answer
Membership Type
*
Please select if you are signing up for Individual Membership or Family Membership.
Individual, USG Under Chief of Mission Authority
Family, USG Under Chief of Mission Authority
Individual, Not Under Chief of Mission Authority
Family, Not Under Chief of Mission Authority
Membership Classification
*
Pursuant to the bylaws, please identify your membership classification. You can review the Bylaws on our webpage for information about voting rights and membership privileges for each category of membership.
Full Membership - Select if you are an American, federal employee, assigned to Kinshasa and under COM authority including USDH and USPSC classifications
Associated Membership - Select if you are an American or non-American working for the US Federal Government as a contractor (includes TCNs)
Diplomatic Membership - Select if you have diplomatic status in Congo and are not American or an employee under COM authority
Affiliate Membership - Select if none of the above options apply
Agency or Affiliation
*
For U.S. Federal Employees, please provide your Agency. For all others, please provide your diplomatic affiliation or employer.
Department of State
CDC
DOD
USAID
Other:
Contact Information
*
Please provide your email address and phone number.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report