Water Action Month 2019 - Activities Calendar
Dear Water Action Month (WAM) participants,

We are thrilled that you are joining our annual campaign! Please complete the form below by listing the activities your have planned as part of our annual campaign. This allows us to understand what types of activities will be delivered and in which regions.

If you have only one activity planned, please answer only the mandatory fields of this form. If you have more than one activity planned, please complete all applicable fields.

Many thanks,
End Water Poverty

Full name *
Your answer
Name of organisation *
Your answer
Is this the first time you are participating in Water Action Month? *
Region(s) you work in: *
Country: *
Your answer
Please state the name of the city/district your activities will take place in.
Your answer
What types of activity are you organising for WAM 2019? (Choose as many as you like) *
Required
Activity 1: Start Date (if you are planning more than one activity), please list them in the next section(s) *
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Activity 1: Description (who will be organising it, what products you will be using and which partners - if applicable - will support you) *
Your answer
Activity 1: End Date *
MM
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DD
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YYYY
Activity 2: Start Date (please skip if not applicable)
MM
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DD
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YYYY
Activity 2: Description (who will be organising it, what products you will be using and which partners - if applicable - will support you)
Your answer
Activity 2: End Date (please skip if not applicable)
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DD
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YYYY
Activity 3: Start Date (please skip if not applicable)
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YYYY
Activity 3: Description (who will be organising it, what products you will be using and which partners - if applicable - will support you)
Your answer
Activity 3: End Date (please skip if not applicable)
MM
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DD
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YYYY
Activity 4: Start Date (please skip if not applicable)
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YYYY
Activity 4: Description (who will be organising it, what products you will be using and which partners - if applicable - will support you)
Your answer
Activity 4: End Date (please skip if not applicable)
MM
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DD
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YYYY
Activity 5: Start Date (please skip if not applicable)
MM
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DD
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YYYY
Activity 5: Description (who will be organising it, what products you will be using and which partners - if applicable - will support you)
Your answer
Activity 5: End Date (please skip if not applicable)
MM
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DD
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YYYY
If you have any more activities planned, please state the dates below.
Your answer
Please state in one sentence who you would like to target and what change you would like to see as a result of these activities. *
Your answer
Are you able and/or willing to share photos, videos and other content based on your activities with the Secretariat? These will be shared through our digital channels. *
Does your organisation have a Twitter account/handle? *
If yes, please state the full Twitter handle (in order for us to tag you in relevant social media posts):
Your answer
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