AUADS SIXTH REGION HIGH COUNCIL MEMBERSHIP APPLICATION FORM

This Registration Form serves as an expression of interest and represents the first step toward obtaining full membership with the AUADS Sixth Region High Council

PERSONAL INFORMATION

Email address *

Do you define yourself as African Diaspora? *
Select your answerYesNo

If YES, kindly explain

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *
Select your answerMaleFemaleOther

Country of Residence *

Postal Code *

Primary telephone number *

First Year/First Time Registration? *
Select your answerYesNo

Please choose your Region *
Select your answerNorth AmericaSouth AmericaEuropeAsiaOceaniaCentral and Latin AmericaBrazilHaitiCaribbeanMiddle EastAustralia / New Zealand

Name of Organization/Association/Network or Coalition *

What is your Position? *

Number of members you represent *
Select your answer1-1011-5051-100101-500500+

Does your Organization has a website? *
Select your answerYesNo

If your answer is YES please can you provide the Website

Please list your Socials (e.g. Facebook, Instagram, LinkedIn, YouTube, etc.)

Which are your areas of expertise based on AUADS Programs of Action? *
Select your answerPolitical CooperationEconomic CooperationSocial CooperationMultiple Areas

Area of expertise based on the AUADS Program of Action on Political Cooperation *
Select your answerPolicy DevelopmentAdvocacyGovernanceOther

Area of expertise based on the AUADS Program of Action on Economic Cooperation *
Select your answerTradeInvestmentEconomic DevelopmentOther

Area of expertise based on the AUADS Program of Action on Social Cooperation *
Select your answerEducationHealthCultureOther

Are you willing to contribute to the growth and development the AUADS programs and objectives? *
Select your answerYesNo

If YES in which ways can and are you willing to contribute to the development of the AUADS Sixth Region High Council?

Do you have any question or comment?

Terms and Conditions

By submitting this form, you confirm you are aware of the following conditions:

• Registration submitted by you is to facilitate the membership process. All private information filled in this form will not be externally shared.

• Given the process in the AUADS membership acquisition, submitting this application form is an "Expression of Interest".

• You will undergo a background check until all information provided in your application are confirmed.

• You consent our organization to process your personal information

I AGREE to the terms and conditions stated above