Join YAWC Network Step 1 Step 2 Step 3 Step 4 Step 5 Name STEP 1 General Information Title * Ms. Miss Mrs. Mr. Dr. Prof. Rev. First Name * Last Name * Other Names Date of Birth * Nationality * National Identity For Non-Ghanaian Residents: Passport No. Country of Issue Date of Expiration National Identity For Ghanaian Residents: Voter's ID/Passport No. Date of Issue Contact Details Primary Phone Number: * Second Phone Number: WhatsApp Number: Twitter Account/Handle (@): Facebook ID: Email Address * Address City Country * Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe STEP 2 Education and Languages Highest Level of Education: * Course of Study: * Name of Institution: * Year of Completion: * Are you Currently Enrolled in the School/ College/University: * Yes No English Language Proficiency: * Basic Intermediate Advanced Other Languages Spoken: STEP 3 Employment/ Professional Experience Employment Status Internship Volunteer Employee Self-Employed Name of Company/Organisation Position Title/Rank: Corporate or Official Address: STEP 4 Supplemental Questions This information is used to better understand background of members to make provisions for special needs. The aggregate information collected through this form will be kept private and confidential Marital Status Married Single Divorced Religious Affiliation Christianity Islam Buddhism Hinduism African Traditional Religion Other Disability Yes No Please indicate if you are a member of any other leadership Network and the year you joined the Network. How did you learn about Young African Women Congress (YAWC) Network? Social Media & Online Ads Newspaper & Print Website Friend or Referral Partner Organizations & Media Houses Street Billboards Recommend this Network to a friend Full Name Email Address Telephone Number Consent and Commitment Agree to continue AG I have read and understood the constitution governing the establishment and operations of the YAWC Network to the best of my knowledge and I accept and will comply with the terms and conditions of the YAWC Network. In order to be a member of the YAWC Network, I understand that I must meet the minimum eligibility requirements for membership status, that I must pay the required registration fees, that I must be a young woman within age 18 – 45, unless otherwise by consideration which is at the discretion of the YAWC Network Secretariat, and that my admission into the Network is subject to the determination by the Secretariat. I hereby certify that I have completed this registration fully and accurately to the best of my knowledge. I understand that any falsification, omission, or concealment of material fact may subject me to being dismissed from the Network. AG1 I hereby acknowledge that as a member of the YAWC Network, I confirm that I will abide by all rules of engagement of the Network.