Membership Registration

Fields marked * are required.

Membership type

About you

Full name

Gender

Female Male Prefer not to say

Date of birth

We use this to check whether a parent or guardian needs to consent.

Nationality

National ID or passport number

Parent or guardian

You are under 18, so we need the details of a parent or guardian and their consent.

Parent or guardian: full name

Parent or guardian: phone number

Relationship to you

For example mother, father, guardian.

Contact details

Email address

Phone number

Include the country code, for example +256...

WhatsApp number (optional)

Country

District or region

Sub-county or city

Village or address (optional)

Occupation and education

Occupation or status

Highest level of education

Please tell us more

Organisation or school (optional)

How you would like to take part

Areas you are interested in

Technology, Digital Inclusion & Innovation Climate Resilience and Environmental Sustainability Sustainable Development Goals (SDGs) and Community Development Health & Community Wellbeing Education, Skills & Youth Development Volunteering Mentorship Partnerships and advocacy

Tick all that apply.

Skills and experience (optional)

Tell us about skills or experience you could share.

Availability

How did you hear about us?

Please tell us where

Why would you like to join?

A few sentences are enough.

Emergency contact

Emergency contact: full name

Emergency contact: phone number

Relationship to you

For example sister, friend, employer.

Payment

You do not need to pay now. If you have already paid, add the payment reference so we can match it. Do not upload or type card or bank PINs.

Preferred payment method

Pay with Daraza Mobile money Bank transfer Cash at the office Other

Payment reference (optional)

Only if you have already paid: for example the mobile-money or bank transaction ID.

Photo and proof of payment

Your photo is printed on your membership card. You can also add or change it later on your private membership page.

Your photo (headshot)

Choose a photo

A clear, recent head-and-shoulders photo, facing the camera, in good light, with a plain background and no sunglasses or hat. JPG, PNG or WebP, up to 5 MB, at least 300 x 300 pixels. It is cropped to a square automatically, so keep your face in the middle.

Proof of payment (optional)

Choose a file

If you have already paid, upload a photo or screenshot of the receipt or mobile-money message. JPG, PNG, WebP or PDF, up to 5 MB. You can also add it later on your private page.

Please check the following before sending

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