LATAZ Membership Application Form
Application Type
*
New
Renewal
Unique ID
If Renewal
Membership Type
*
prev
next
( X )
Regular
with one SIG
150.00
ZMW
for each
year
Student
Comes with subscription to one SIG
100.00
ZMW
for each
year
Honorary
Comes with subscription to one ISG
150.00
ZMW
for each
year
Institutional
Free
ZMW
for each
year
Special Interests
*
Business Communications SIG
Cross-Cutting Issues SIG
Curriculum Development and Innovation SIG
Inclusive Practices and Special Education Needs SIG
Leadership and Management SIG
Learning Technologies SIG
Literature SIG
Materials Writing SIG
Primary Literacy SIG
Teacher Development SIG
Testing, Evaluation and Assessment SIG
Back
Next
Name
*
First Name
Last Name
TS Number
*
Address
*
Institution
Street Address Line 2
District
Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Mobile Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Age
*
18-29
30-39
40-49
50-59
60+
Professional Information
Individual Members Only
Highest Qualification
*
PHD
Masters
Bachelor's
Secondary Diploma
Primary Diploma
ECE Diploma
Certificate
School Certificate
Subject Speciality
*
English Language
Primary Literacy
Literature in English
Zambian Language
Swahili
French
Chinese
Portuguese
Type of work (tick as many as apply)
*
Teacher (Primary)
Teacher (Secondary
Teacher Trainer/Lecturer
Author/Writer/Materials Developer/Editor
Examiner/Item Writer/Assessor
Head of Department/Course Coordinator/Director of Studies
Administrator (Deputy Headteacher/Headteacher/ESO/DEBs/SESO/Director
Consultant/Freelancer/Researcher
Years in current position
*
0-2
3-5
6-8
8-10
11-15
16-20
20+
Back
Next
Institutional Details
Institutional Members Only
Name of Institution
Date Established
-
Month
-
Day
Year
Date
Type of institution
Pre-scholl
Primary School
Secondary School
Combined
College of Education/University
NGO/Company
Running Agency
GRZ
Grant-aided
Private
Number of language and literacy teaching staff
Back
Next
Payments
Payment Methods
*
Bank Deposit - Account No: 1062865 ABSA Bank Solwezi Branch
Bank Transfer - Account No: 1062865 ABSA Bank Solwezi Branch (code 026) Sort Code 022829 - Swift Code BARCZMLX
Mobile Money (Contact 0977457707 for Guidance)
Proof of Payment
Browse Files
Drag and drop files here
Choose a file
Upload Deposit Slip, Receipt or Transaction Record/Screenshot
Cancel
of
Signature
*
Submit
Should be Empty: