PARTNERSHIP APPLICATION FORM.
Thank you for your interest in becoming a partner in our tech driven social intervention network. To become a partner in our tech driven social intervention network, please fill out this application form below. Once received, we will review the information and come back to you to finalize the partnership.
Email address *
Organization Contact Information
Please, kindly tell us about your organization.
Name of Organization *
Your answer
Country *
Your answer
State *
Your answer
City/Town *
Your answer
Postal code
Your answer
Telephone no *
Your answer
Website
Your answer
Social Media Handle {facebook, twitter, Instagram}
Your answer
Contact Person
Please, kindly tell us more about you or someone we can contact at any time.
Name *
Your answer
Title *
Your answer
Position in organization *
Your answer
Address if different from above
Your answer
Email Address *
Your answer
Phone no *
Your answer
Nature of your organization
Please, kindly tell us what your organization is into
Organization type *
Which of the below SDGs are working with? *
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