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Membership Form

Organization Name:

Year of Establishment:

Country:

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Contact Person:

Position:

Pronouns:

Email:

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Briefly Describe Your Organization's Mission and Objectives:

How Does Your Organization Support the LBTQ Community?

What Are the Main Activities or Programs of Your Organization?

How Many Members Does Your Organization Have?

What Is the Structure of Your Organization?

Have You Collaborated with Other Organizations or Networks in the Past? (If Yes, List them below.)

Are You Interested in Collaborating with Other Members of Africa Queer Network?

Why Does Your Organization Want to Join Africa Queer Network?

Is There Any Additional Information You Would Like to Share?

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