Register as an Alliance Partner
Email address *
Organisation name *
Organisation - put 'None' if signing as individual
Your answer
Address 1 *
e.g. Building and Street
Your answer
Address 2
e.g. Suburb
Your answer
Address 3
e.g. Town or City
Your answer
Region *
Your answer
Postcode *
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Organisation's internet address
e.g. website, Facebook, blog
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Your title
Ms, Mr, Mrs, Dr., Rev. Lady, Sir etc. ...
Your answer
Your first name *
Your answer
Your last name *
Your answer
Your phone number *
Mobile number preferred
Your answer
Please provide a brief summary of your digital inclusion initiative *
Your answer
Which disadvantaged groups will benefit from your initiative(s)?
Which of the following groups will benefit from better digital skills as a result of your initiative(s)?
Which of the four dimensions of digital inclusion does your initiative address (tick all that apply)?
How would you best classify your interest in digital inclusion? *
Required
I agree that the Alliance can publish information about my initiative(s) on its website as well as on the digital inclusion map *
I agree to complete a brief survey every quarter with an update on my activities
Would you like us to send you news about digital inclusion from time to time?
I support the values and purpose of the Digital Inclusion Alliance Aotearoa *
Required
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