Membership Application Form
The Ugwumba Women Academy is a program of the Ugwumba Center for Leadership Development in Africa (UCLDA) designed to empower African women (both professionals and business owners) with the leadership and enterprise development skills they need to do better in their chosen careers.

NB: None of your personal and company information supplied here shall be used for commercial purposes.
Email *
1. Name (in full) *
2. Contact Address *
3. Phone Number *
4. State of Residence *
5. State of Origin *
6. Company/Business Name *
7. Business Address *
8. Company Website
9. Social Media Handles (Company)
10. Business Sector *
11. Is your business registered? *
12. Type of registration
13. Have you benefited from any of the UCLDA programs? *
14. If yes, which of the programs?
15. Areas of Need *
16. Any other thing you want us to know?
A copy of your responses will be emailed to the address you provided.
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