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20240612 GBV Collective Forum Register
Thanks for completing this register. It helps us keep in touch with you. In future, you will not need to complete all questions, but please do so today, to help update our records.
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* Indicates required question
Email
*
Your email
1. Title
*
Your answer
2. First Name
*
Your answer
3. Surname
*
Your answer
4. Phone Number
*
Your answer
5. Gender identity that you identify as
Woman
Man
Nonconforming or Other
I would rather not say
Clear selection
6. Please indicate your organisation type
Choose
Community-Based Organisation
Non-Governmental Organisation
Interfaith Activist Group
Faith based registered NGO or CBO
Local church, mosque, Temple, Synagogue or other place of worship
Religious institution (eg church denomination, sect, etc)
Faith-Based or Interfaith Network or Coalition
Individual
Government Department
Parastatal or Section 9
Private Sector Company
Media
Cultural Organisation
7. Please indicate your faith organisation or affiliation
Choose
Hindu
Muslim
Buddhist
Baha'i
Christian
African Traditional
Brahma Kumaris
Jewish
I don't subscribe to any faith
Other
9. Main Province/s where you operate (if all, select National)
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
National Organisation
International Organisation
10. Are you a registered WWSOSA Member? (Do you receive our newsletters?)
Yes
No, but I am a subscriber
I would prefer not at the moment, thank you
No, but I would like to join
I am not sure if I am a registered member
Other:
Clear selection
11. Would you like to be on the general WWSOSA or Faith Action to End GBV Collective News Distribution list?
Choose
Yes - Please add me to the WWSOSA mailing list
Yes- Please add me to the Faith Action email or Whatsapp group
I would like to unsubscribe so I no longer receive communications
I would like to receive all information
I am already on the WWSOSA mailing list
I am already on the Faith Action to End GBV Collective mailing list
12. Would you like the opportunity to share more about any GBV activities or projects run by your organisation or faith institution, and what support you may need?
Yes, sure
Not at the moment, thanks
We do not have any GBV activities at the moment
Clear selection
13. Permission
Please indicate if your organization is happy for the above information to be used in the following ways :
Yes, for use internally just to circulate communications
No
Yes, for use internally but also to add to a broad database of Faith Actors involved in GBV work (personal information will not be shared)
Clear selection
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