Core Member Application Form

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* 1. What's the name of your organization?

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* 2. Have you already applied as a general member of the Alliance?

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* 3. If no to Question 2, please first apply for the general membership at https://www.surveymonkey.com/r/AllianceGNRLMEMBER

Or

If yes to Question 2, please provide the date of your application for general membership:

Date / Time

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* 4. Have you been an active member in any of the Alliance Working Groups and/or Task Forces in the past year?

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* 5. If yes to Question 5, which Working Groups or Task Forces (select all that apply)

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* 6. If no to Question 5, which Working Groups or Task Forces are you planning to actively engage with (select all that apply)

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* 7. Is your organization able and committed to dedicate at least 2 person-days of a senior child protection specialist time to the Alliance?

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* 8. If yes to Question 8, please mention the name of the person

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* 9. Describe how your organization will be able to benefit from being a core member of the Alliance (as opposed to being a general member)?

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* 10. If you are approved as a core member of the Alliance, how do you plan to contribute to the work of the Alliance (beyond what you can do as a general member)?

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* 11. Please upload any supporting document that you may think will help the Alliance Steering Committee in their consideration of your organization as a Core Member. This may include codes of conduct, child safeguarding procedures, annual reports, certificates, etc.

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