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Member Directory Participation Form
Participation Notice & Consent
This form is part of an informal group project to showcase our members’ backgrounds and foster community. The information you submit (except LinkedIn, which is optional) may be displayed publicly on our website.
By submitting this form:
You give us permission to publish your provided data.
You understand your listing will be viewable by anyone visiting the site: www.africafocusnetwork.com
You may request removal or updates at any time by contacting us at info@africafocusnetwork.com .
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* Indicates required question
First Name ( or nickname or initials)
*
Your answer
Country of Origin
Your answer
Languages Spoken
Your answer
LinkedIn Profile Link (Optional)
Only include if you’re comfortable having it listed publicly
Your answer
Profession
Your answer
Title
Your answer
Industry (Major, if Student)
*
Your answer
Category (Professional/Student)
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Professional
Student
Mentorship Needed
Yes
No
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Yes
No
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*
I consent to the publication of my submitted information. (Required before submission)
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