Sea Women of Melanesia Inc.- Membership Application Form

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This form will submit your application to become a member of the Sea Women of Melanesia Inc. Please answer all the questions below and then click the Submit button at the bottom of the page.

Email *

Your First Name *

Your Last Name *

Your Gender Identity *

Female

Male

Other / prefer not to say

Your Phone Number *

Your Usual Residential Area (Town, Province, Country) *

The object of the Sea Women of Melanesia Inc. Association is to pursue the following charitable purpose - to empower Papua New Guinean Women with the training, skills, and resources they need to take an active role in marine conservation in Papua New Guinea.

Do you agree with the charitable purpose of the Sea Women of Melanesia Inc. ?

Yes

Have you read, understood, and agree to comply with the Constitution of the Sea Women of Melanesia Inc. ?
*

Yes

Do you wish to become a member of the Sea Women of Melanesia Inc. ? *

Yes

Do you have family or clan connections to coastal areas of Papua New Guinea? If yes, please provide more details below: *

Are you a confident swimmer? *

Yes

Have you ever used snorkelling equipment? *

Yes

Are you a certified SCUBA diver? *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

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