A4HPV - Membership Form

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This form is for individuals who would like to join the A4HPV effort to eliminate HPV and Cervical Cancer globally.

A4HPV is a Commonwealth wide youth task force formed to unite youth efforts towards the elimination of HPV Cervical Cancer.

For more enquiries, please email info@A4HPV.org or e.goh@commonwealth.int

Email *

First Name *

Last Name *

Personal Websites / Social Media Links

Country you reside in *

City , in the country that you reside in *

Year of birth *

A short introduction about yourself (max 50 words) and any related work / projects you do. *

Skills Set *

Communications / Branding / Marketing

Advocacy / Policy / Government

Partnerships / Fund raising / Sponsorship

Community / People Management

Designing / UX / UI / App & website / Content creation

Other:

Required

Email Address *

Whatsapp Number (include country code) *

Would you like to hear more about A4HPV's future initiatives ? *

A4HPV is part of the Commonwealth's initiative, by clicking 'YES' you will give consent for A4HPV to share your details with The Commonwealth

Yes

Send me a copy of my responses.

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