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Membership Registration Form
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3
Motivation & Alignment
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Country of Residence
--Select--
Afghanistan
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Andorra
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Chile
China
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Netherlands
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Nigeria
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Poland
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Qatar
Romania
Russia
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Samoa
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Spain
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Sweden
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Turkmenistan
Tuvalu
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Ukraine
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United Kingdom
United States
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Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
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Membership Category
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Legacy Member
Professional Member
Associate Member
Affiliate Institution
Current Role / Title
Organization / Institution
Sector / Industry
Years of Experience
Areas of Expertise (select all that apply):
Leadership & Governance
Business & Entrepreneurship
Academia & Research
Social Impact / Development
Public Policy & Advocacy
Technology & Innovation
Health & Wellbeing
Creative Industries
Other
Other Areas of Expertise
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Why do you want to join the HERizon Africa Network?
Leadership Development
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Mentorship (Giving or Receiving)
Advocacy & Policy Engagement
Business & Project Collaboration
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Other Motivation & Alignment
How do you intend to contribute to the Network's mission?
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