SI4DEV Mentor and Member Registration

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Thank you for your interest in joining our Initiative. Mentors will receive training if needed to act as coaches and mentors to volunteer partners.

All questions must be completed to finish the survey. In order to proceed to the next question, enter NONE or N/A if you do not have relevant answers. We appreciate you.

First Name, Surname *

Gender *

Female

Male

Age *

Phone Number *

Email Address *

Country where resident *

State and Town/City where resident *

Please state profession, qualification, line of business and current employer. (employed or self employed) *

How many years experience do you have in your qualification/profession? *

Less than 5 years

5+ years

10+ years

20+ years

What area of development are you most interested in? *

Health

Governance

Enterprise

Education

What level of membership are you interested in? *

Shere - $50/N25,000 each year

Aso - $100/N50,000 each year.

Zuma - $250/N150,000 each year.

Olumo - $500/N250,000 each year.

Obudu $1000/N500,000 each year.

Idanre - $5,000/N2,000,000 each year.

Waddi - $10,000/N5,000,000 each year

Mentoring only

Please tell us more about you and how we can best engage you as a Mentor and Member. *

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