PRIDA membership or interest

Thank you for your interest.  Please complete this form and submit. Note that PRIDA respects your privacy and will not share any personal information with third parties. This website is managed under high security protocols.

Existing members, please don't use this form.
 

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First name :	Required
Surname :	Required
Email Address :	Required
Phone number with country code (optional):	Required
Occupation :	Required
State (if Australian):	Not specified NSW Vic Qld Tas WA SA ACT NT
Country location:	Required
What connection with PRIDA are you seeking?   Required	Membership (free for LMIC professionals, small annual fee for non-LMIC) Stakeholder/support Donor support of sponsorship for PRIDA (generally or for a specific activity or country) Access to a future PRIDA course - please specify
For those seeking membership:
Qualifications/Skills:
Professional experience:
Non english language(s) spoken:
Hours per week available :
Availability for LMIC visits (optional):
Country preference (optional):	No preference Cook Islands Kiribati Nauru Niue Papua New Guinea Samoa Solomons Timorleste Tonga Vanuatu

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I have read the PRIDA Ltd. Code of Conduct and agree to comply with its requirements

  Required

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We will be in contact as soon as practicable via email to progress your connection. Membership is subject to approval by the PRIDA Board.