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Sudan Women Alliance Solidarity Groups (SWAS)

Solidarity Membership Registration Form


Dear new solidarity member, welcome to SWA and please complete and return the following form to us. This is a confidential form and will help us and you identify the areas where you can best be useful, so please don’t get bored and do complete the form. New members who do not read and write will get assistance from other members. Have fun.


Name

Age Group :

16-20

20-25

25-30

30-35

35-40

40-45

45-50

50-55

55-60

60-65

65-70

More than 70

Country /Nationality  
Optional: race/ethnic origin:  
Optiona :religion background :

Current country / city of residence:

Address:

Phone number: 

Fax  number   :

E-mail addess:

Formal education:

no formal education enroolled in literacy classes primary
intermediate. Secondary Technical
University(university and subject):
postgraduate (university and subject):
other (please specify):

Language(s): please indicate proficiency:

v.goodgood fairpoor

v.goodgood fairpoor

v.goodgood fairpoor

Relevant professional / work experience:

Other relevant experience:

Membership in other (women’s, human rights…etc.) organisations:

Previous memberships:

 

Did you read SWA’s brochure? yes no.

How did you know about SWA?

What made you join SWA Solidarity Groups?

How long have you been interested in Sudanese / African / Middle East Women’s issues?

What do you expect to learn/achieve through your solidarity membership?

What do you expect to add to SWA?

What division(s) are you interested to work in?

advocacy and campaigning. administration. communication and media.
community development: in the  liberated areas in  NIF held areas
in exile communities. fundraising.   research and theory
networking: Sudanese regional:
Middle East. Africa. international.

  other (please specify):

Area(s) of interest (gender, race and social class permeate all these areas):

human rights economics health
reproductive health and rights feminism and   feminist theories identity and difference
law. culture women and politics.
.other (please specify):

Are you:

an unpaid home-maker a student unemployed

employed (please specify):     

self employed (please specify):

 

Time you can devote to SWA activities:

Most flexible time of the year / vacation:

Membership financial contribution: you will be able to contribute:

2% of your income (please specify):

minimum contribution specified by SWA office in the area:

other: please specify:                      

 

You prefer to pay membership fees every: month three months six monthsyear.

Signature of new solidarity member:

This is to certify that the above information is accurate to the best of my knowledge. I understand that providing any false information might jeopardise my membership in SWA.

Signature: Date


For SWA use only:

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