Speak Up Club USIU-Africa- Registration Form
Please fill in the form to join the upcoming Speak Up Club! Speak Up-USIU-Africa is a platform that chooses to challenge Gender Based Violence, Violence against girls, women and men through student led voices. It also raises seasoned transformative leaders who can challenge gender equity and equality contributing to equitable and inclusive transformation in their industry of study.
Name (Please provide First Name and Maiden or Surname) *
Gender *
Email *
Student ID number
Address *
Phone number *
Which program are you enrolled for? *
Which school are you enrolled in? *
Why would you like to join Speak Up? *
What are your specific goals, objectives  and learning expectations? *
How did you hear about Speak UP USIU-Africa? *
Any comments? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms