Section 1 of 1
ZIMBABWE COALITION ON DEBT AND DEVELOPMENT (ZIMCODD)
MEMBERSHIP APPLICATION FORM
ZIMCODD's Vision
We envision a Zimbabwe in which all people enjoy socio-economic justice sustainably. A future in which poverty and inequality are eliminated, with women, children, youth and other marginalized groups living a dignified life.
FEE STRUCTURE
ANNUAL SUBSCRIPTION FEES:
Individual: US$5.00 CBO:US$10.00 Local Organisation: US$20.00 National Organisation:US$50.00 Regional Organization:
2.CBO USD10
This form is automatically collecting emails from all respondents.Change settings
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Option 1
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Sex:
Male
Age:
Sex:
Male
Age:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Sex: Male
Age 29
Ultraverse Consultancy
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
hereby apply for ZIMCODD Organizational membership in terms of the ZIMCODD constitution.
hereby apply for ZIMCODD Organizational membership in terms of the ZIMCODD constitution.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Gender, women and girl's rights
Gender, women and girl's rights
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Option 1
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Applicants identifies with the aim and objectives of ZIMCODD and shares the ZIMCODD vision.
Applicants identifies with the aim and objectives of ZIMCODD and shares the ZIMCODD vision.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
Option 2
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Applicant undertakes to pay the prescribed annual membership subscription fee.
Applicant undertakes to pay the prescribed annual membership subscription fee.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Yes
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
If applicant is an organisation, please provide names of two representatives:
If applicant is an organisation, please provide names of two representatives:
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
director@gwen.org.zw
director@gwen.org.zw
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Kumbirai Kahiya
Vivian Nheya
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Question
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
July 16, 2015
July 16, 2015
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions