Girls Action Network Enrollment
Participant Registration Form
Name:
*
First Name
Last Name
Age
*
Educational Institution Name
*
Address
*
Street Address
Street Address Line 2
City (In BLOCK Letters)
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
List your previous experiences (Internships/Volunteering etc)
Why do you want to join Girls Action Network?
*
Don't worry. We are just trying to get to know you better....
What is your BIG idea for working towards achieving Gender Equality?
*
Girls Action Network is for fierce girls. We are looking for your bold ideas and would love to work with you to build your vision.
Specific Areas of Interest under Gender Equality
*
Menstrual Health & Hygeine
Sexual and Reproductive Health
Girl Child Education
Gender responsive Advocacy
Other
Please verify that you are human
*
Program Fees
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Girls Action Network Program Fees
4,999.00
INR
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