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C4D NETWORK - ASSOCIATES APPLICATION

Welcome to the C4D Network Associate Institutions Joining Form

Thank you for applying for Institutional membership of the C4D Network.

Please complete this brief form and we will get back to you to process your application.

Best

C4D Network Secretariat Team

www.C4D.org

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* 1. About Your Institution

Name of Institution:

Website:

HQ Location (City,Country):

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* 2. What sort of Associate Membership do you wish to apply for as an Institution?

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* 3. About You [Person Officially Responsible for this Application]

First Name

Last Name

Already an individual Network Member?

Your email:

Your telephone number:

Your Skype ID:

What is your role in the Institution?

Any other information:

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* 4. How would you briefly describe your institution? (Please use wording that you would like to have on the C4D Network site as your Associate Profile).

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* 5. What is your institution's engagement / interest in C4D to date?

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* 6. Which Associate Subscription package do you wish to apply for? (Range based on size of organisation and type). NB: 50% discount for those with HQ in Developing Countries - OECD classification.

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* 7. Please can you nominate a person to be your Focal Point (this person will then be the administrative focal point for the Network - confirming new members associated with the Institutional subscription, and potentially posting jobs and notices and other admin).

Focal Point Name:

Already an Individual Network Member?

Focal Point Email:

Focal Point Telephone Number:

Focal Point Skype ID:

Focal Point's role in your institution:

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* 8. Please can you identify initial persons to be joined as Members of the C4D Network under your Institutional subscription (further names can always be added on an on-going basis as well).
Please submit in this format:
Person 1: First Name Last Name. Email Address.
Person 2: First Name Last Name. Email Address
etc

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* 9. Please indicate your preference regarding the above nominated persons' sign-up and welcome. (Either we process this for you, or you may want to do so internally - directing them to go to www.c4d.org - homepage link 'sign-up', noting that they are part of your Institutional Subscription).

Yes please sign-up these nominated members and inform them

No, we [the Institution] would like to manage the sign-up internally

Comment:

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* 10. Please use this section to add any comments, questions or further information, thank you.

Thank you very much.
We shall process your application as speedily as possible, we aim to respond and process applications within a week of receipt.
Finally please can you send your preferred logo or image to go with your Institutional profile on the C4D Network site. Please send this content to c4dmatch@zoho.com (Zoho is our membership platform).
Once we have processed your application there will be an opportunity to send text and photos that you would like us to add, we would be delighted to do so.
Once the profile is up you will have editing rights to amend as you require.

Thank you once again.

Best
Jackie & the Secretariat Team
www.C4D.org