Network Membership

Caption

Title *

First Name *

Last Name *

Other Names

Date of Birth *

Month *

Day *

Year *

Nationality *

National Identity For Non-Ghanaian Residents

Passport No.

Country of Issue

Date of Expiration

National Identity For Ghanaian Residents

Voters 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 *

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 *YesNo

English Proficiency *BasicIntermediateAdvanced

Other Languages Spoken

Employment/Professional Experience

Employment StatusInternshipVolunteerEmployeeSelf-Employed

Name of Company/Organisation

Position Title/Rank

Corporate or Official Address

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 StatusMarriedSingleDivorced

Religious Affiliation

DisabilityYesNo

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 and Online AdsNews Paper and PrintWebsiteFriend or ReferralPartner Organisations & Media HousesStreet Billboards

Recommend this network to a friend

Fullname

Email Address

Telephone

Consent and Commitment

Consent *

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 young woman within age 18 - 45, unless otherwise by 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.

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.

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