Associate Membership Application

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* 1. Contact details:

Name and title

Email

Phone number (with international code)

Postal address

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* 2. Are you:

An individual consultant working in the area of child protection in emergencies? (Please provide details in the comment box below)

A researcher? (Please provide details below)

A student? (Please provide details below)

A government representative (Please provide details below)

Other

Please specify

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* 3. Please provide a brief description of your primary areas of work and background in child protection.

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* 4. Country(ies) of operation (Where do you usually work?)

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* 5. Professional or organizational website/ social media

Website URL

Facebook

Other

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* 6. Preferred working language

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* 7. Other working languages

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* 8. Are you interested in joining the Alliance's Working Groups and/or Task Forces? If yes, which ones? (See "How We Work" for further information)

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* 9. How do you plan to contribute to the work of the Alliance? Examples may include: Translating or proofreading translations; hosting or facilitating local child protection trainings; pilot testing new tools and guidelines.

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* 10. Please upload any other documents to support your application e.g. professional or organizational registration certificate, mission statement, brief CV etc.