Membership Sign Up Form


Pursuant to 5 U.S.C. 522(e)(3), this Privacy Act Statement serves to inform you of the following concerning the collection of the information on this form. 

Authority: USAID collects information as part its Open Government and Public Engagement activities pursuant to the Foreign Assistance Act of 1961, as amended; OMB M-09-12: President’s Memorandum on Transparency and Open Government; OMB M-10-06: Open Government Directive; OMB Circular A-130: Management of Federal Information Resources; 44 U.S.C. 3101: Records Management by Federal Agencies; 5 U.S.C. 301: Departmental Regulations; and USAID Regulations for Implementation of the Privacy Act of 1974 at 22 CFR 215.

Purpose: USAID requests this information to improve its services to members of the USAID Leading through Learning Global Platform (LTLGP)—depending on their location and organization type—and to understand more about the success of LTLGP’s global reach.

How USAID uses personal information: USAID collects, uses, disseminates, and maintains the information to inform policy decisions and programmatic planning activities. Access to the personally identifiable information (PII) collected during this survey is granted only to authorized users and is limited to only the information they need to know. All USAID personnel are required to adhere to the Rules of Behavior that govern the appropriate access and use of PII. Disclosure of the desegregated, person-specific information provided will not be made outside the Agency, without the consent of survey takers (i.e., those who opt to be contacted via the form).

Applicable SORNs: A complete listing of the routine uses for the information collected may be found in USAID-29 – Online Collaboration Records System of Records Notice, published at 78 FR 4526 (January 28, 2010).

Disclosure: Completion of this survey is voluntary. You may choose to respond to all or any of the questions without penalty. If you are not comfortable answering any of the survey questions, you are free to leave it blank. Your completion of all fields will help the LTLGP program understand more about the success of LTLGP’s global reach and improve its services to members, depending on their location and organization type. Your participation will help ensure adequate representation of LTLGP members. If you agree to participate, you may withdraw your participation in the survey at any time by simply exiting the survey.  


About this Membership Survey for the USAID Leading through Learning Global Platform

The USAID Leading Through Learning Global Platform (LTLGP) is a global education learning system for USAID and partners to enhance thought leadership and education program quality. This learning system includes three Learning Networks (LNs), The Latin America and Caribbean Regional Hub, and Learning Networks in Africa. 

Please choose the LN and/or Region you would like to join as a member. As part of your membership, you will receive the latest news and announcements on the LNs/Regions and topics you indicate in the form. Please also indicate if you would like to benefit from direct engagement opportunities. We look forward to hearing from you and connecting!

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Sobre este Formulario de Membresía para la Plataforma Global Liderando a través del Aprendizaje de USAID

La Plataforma Global Liderando a través del Aprendizaje de USAID es un sistema educativo global de aprendizaje cuyo objetivo es desarollar el liderazgo y garantizar la calidad de los programas educativos. Este sistema de aprendizaje incluye tres redes de aprendizaje y tres hubs regionales. 

Por favor, indique la red de aprendizaje y/o el hub regional al que le gustaría hacerse miembro. Como parte de su membresía, usted recibirá las últimas noticias y anuncios sobre las redes de aprendizaje/hubs y los temas que indique en el formulario. Indique también si desea beneficiarse de oportunidades de participación y colaboración más directas. ¡Esperamos tener noticias suyas y conectarnos!

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À propos de cette enquête d'adhésion à la plateforme mondiale Diriger par l'apprentissage de l'USAID

La plateforme mondiale Diriger par l'apprentissage de l'USAID (LTLGP) est un système mondial d'apprentissage sur l'éducation dédié à l'USAID et à l’ensemble de ses partenaires en vue de promouvoir un leadership éclairé et des programmes éducatifs de qualité. Ce système d'apprentissage comprend trois réseaux d'apprentissage (RA) et Région. 

Veuillez choisir le RA et/ou le Région que vous désirez rejoindre en tant que membre. Dans le cadre de votre adhésion, vous recevrez les dernières nouvelles et annonces sur les RA/Région et les thématiques que vous indiquerez dans ce formulaire. Veuillez également préciser si vous souhaitez bénéficier d'opportunités de participation plus directes. Nous avons hâte d’avoir de vos nouvelles et d'entrer en contact avec vous !

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Email *
First Name / Nombre / Nom
Last Name / Apellido(s) / Prénom
Type of organization
Clear selection
In what region are you located? / ¿En qué región se encuentra? / Dans quelle région vous trouvez-vous ?
Clear selection
In what country are you located? / ¿En qué país se encuentra? / Dans quelle pays vous trouvez-vous ?
In which learning network(s) are you interested? Please choose the LN(s) you would like to join as a member. / ¿En cuál red de aprendizaje tiene interés? Por favor indique la(s) redes de aprendizaje a las que desea unirse. / Quel(s) réseau(x) d'apprentissage vous intéresse(nt) ? Veuillez choisir le(s) réseau(x) d'apprentissage que vous souhaitez rejoindre en tant que membre.
Would you like to become a member of the Regional Learning Networks? If so, please indicate the Region(s) you would like to join. / ¿Le gustaría hacerse miembro de los redes de aprendizaje regionales? De ser así, por favor indique el/los redes de aprendizaje a los que desea unirse.
Do you wish to be contacted via email by your chosen LN(s) and/or LNs in region(s) team(s) for direct engagement opportunities?
Clear selection
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