CIVICUS Membership form

Membership Category *

What is your organisation’s annual budget? * Voting members with an organisational annual income of more than $80,000 contribute to a Member Solidarity Fund. Contributions are optional for individuals and organisations with annual income of $80,000 or less. Associate membership is free.

Membership Period * Associate members receive free, lifetime membership. Voting membership is for 3 years. You can decide to pay the 3 years at once or pay annually.

Annual Membership Fee

Last Name

First Name

Gender

Nationality

Date of Birth * (Members of 30 years of age and below will receive opportunities to engage in youth-tailored activities)

Job Title / Position

Email Address *

Mobile Phone (Please include the international dialling code.)

Alternative Email Address

Street Address

City

Postal/Zip Code

Province/State

Country *

Organisation Name (inclusive of campaigns, social movements, grassroots networks, etc.) Indicate n/a if not applicable. *

Organisation Email Address (If Applicable)

Organisation Telephone (If Applicable)

Type of Organisation (If Applicable)*

We want to follow you on social media. Please include the most relevant accounts.

Website

Facebook

Twitter

Organisation Profile, including Mission and Vision (if not applicable, please add n/a)*

Organisation's Geographic Scope

Local

National

Regional

International

Organisation’s Geographic Focus

Asia

Americas

Africa

Europe

Oceania

Communications

Communications Preferences

Phone

Post

SMS

Social Media

Other

What kind of information would you like to receive from CIVICUS? *

Campaigns, Petitions and Statements

Working Groups and Communities

Research and Publications

Capacity Building and Training Opportunities

Events and Networking Opportunities

News and Analysis

Subscriptions

(All members automatically receive messages periodically sent out by the Membership Team.)

e-CIVICUS Newsletter Our weekly electronic newsletter keeping thousands of people and organisations informed of developments taking place in civil society around the world.

CIVICUS Monitor Newsletter A monthly round-up of threats to civic space around the world

CIVICUS at the UN Bi-monthly updates on our activities at the UN (New York and Geneva).

Diversity & Inclusion Group for Networking and Action (DIGNA) Includes a quarterly newsletter with opportunities, calls and publications

A4SD Newsletter A bi-weekly newsletter from the global civil society platform on sustainable development and Agenda 2030.

I4C Newsletter A monthly update from the Innovation for Change project.

Other notifications CIVICUS will email you with information based on the areas of interest selected above.

CIVICUS Youth Working Group Includes a quarterly newsletter with opportunities, calls and publications.

Preferred Language Please select the language you are most comfortable communicating in. *

How did you get to know about CIVICUS?

Other Spoken Languages

The CIVICUS Secretariat may occasionally send communications in other languages. Please indicate which languages you would like to receive information in.

Arabic

English

Hindi

Portuguese

Chinese

French

Russian

Spanish

Other

Membership and Privacy Policies

CIVICUS Mission, Vision and Policy

Yes, I know and abide by the Universal Declaration of Human Rights. *

Yes, I have read, understood and will comply with CIVICUS’ Mission and Vision. *

Yes, I have read, understood and will comply with CIVICUS’ Membership Policy and Code of Conduct. *

Disclaimer - Privacy Policy

We will never make your contact details available outside of the CIVICUS network. Within the network, we will only share your contact information based on your preferences.

Yes, I agree to CIVICUS' review of my/my organisation’s references and profile. *

Yes, I would like to share my/my organisation's contact details with other CIVICUS members.

Yes, I would like CIVICUS to feature me/my organisation on the CIVICUS website.