Registration Form

Organisation/Individual Details

Name of Organisation

Registration Number

Physical Address

Postal Address:

Website

Telephone

Contact Person

Name

Positon / Role

Email

Phone

Area of Focus

Themes of Interest (Check a maximum of 3):

Themes of Interest

Gender and education policy Sexual and reproductive health Menstrual hygiene management Climate change and education Girls’ leadership and agency Addressing boys’ education and gender disparities

Geographical Areas of Operation:

Themes of Interest

National County-Level Regional/Global

Organizational/Individual Profile (300 Words Max)

Organizational/Individual Profile (300 Words Max)

How does your 0rganization/individual work contribute to gender equity in education?

Contribution to gender equity in education?

How does your 0rganization/individual work contribute to gender equity in education?

Contribution to gender equity in education?

Supporting Documents

Please attach the following documents with your application:

1. Copy of registration certificate (for organizations).

Registration Certicate

2. Audited financial reports (if applicable). New organizations (<2 years old) may submit a letter of recommendation from a GiEM member in lieu of audited reports.

Audited Financial Reports

3. Proof of registered physical address.

Registered Business Address

Membership Commitment

1. Do you commit to paying the annual membership and subscription fees?

Continual Subscription

Yes No

Waiver

"If unable to pay fees, request a waiver here: (Giem will contact you)."

2. Are you willing to allocate resources for participation in Giem activities?

Resource Allocation

Yes No

Acceptance

By checking this, I/we confirm that the information provided is accurate and agree to adhere to the guidelines and principles of the Gender in Education Dialogues Movement (Giem).