Submission for New or Affiliated Chapter

This form is designed for groups of post-secondary institutions who have established campus clubs or societies and wish to affiliate with the Unique Mappers Network or are in the process of forming new chapters at their colleges, universities or organization.

Before proceeding, please consult our communications lead by mail to confirm whether a chapter already exists at your institution. Unique Mappers Network chapters are inclusive, open to all, and only one chapter per institution is permitted. For institutions with multiple campuses, a separate chapter may be established at each location.

Our team will review your application and contact you within one week regarding its status. New chapter applications are subject to monthly approval by our steering committee. For additional details, visit www.uniquemappers.org.

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Email *
Is this an existing group or are you starting a new chapter? *
Are you affiliating an already established group or forming a new Unique Mappers Network chapter?
Is your organization formally recognized or approved by a governing body or parent organization? *
Does your group have official status or recognition from the governing body, community, or organization to which it is affiliated?
Full Name of Your Organization *
Please avoid using acronyms.
OFFICIAL NAME of Your GROUP OR CHAPTER
*
Please avoid using acronyms. Enter the full name of your group or chapter along with the location reference. (For example, "Unique Mappers in Lagos" or "Unique Mappers - Lagos Chapter").
Location (City or Town)
*
The city or town where your organization is based.
Location (State or Province)
*
Please specify the state or province where your organization or group is based.
Location (Country) *
Full Address of Institution/Organisation *
PUBLIC EMAIL ADDRESS FOR PROFILE DISPLAY *
Please provide the email address you would like to display publicly on your profile. This may be different from the email address used for correspondence.
Website, homepage, or social media page of your organization *
Optional
Twitter handle *
Optional - please start with @
How many members are in your group? *
What is the total number of females in this group? *
What is the total number of males in this group? *
Please specify the highest degree level attained by any of your members. *
Select all that apply.
Required
Full Name of Primary Contact
*
Provide the name of the individual who will serve as the main contact for all correspondence.
Affiliation *
For example, Department of Geography at The George Washington University, a community organization, or any other relevant group.
Email Address of the Primary Point of Contact
*
Please provide the email address of the individual who will serve as the main point of contact for this group or organization.  
Contact Phone Number
*
Please include the country code for international numbers.
Who are the Officers or Leaders of your Group? *
Please provide the full names of your group's leaders along with their respective positions.
(For example: "Kim Francis, Chairperson; Taiwo Bello, Deputy Chair; Victor Moses, Treasurer; Gabriel James, Secretary; Tom Vardy, Community Liaison").  
Primary Email Address for Correspondence
*
Please provide a comprehensive list of email addresses (e.g., those of key representatives) where you would like to receive updates and correspondence from Unique Mappers Network. These addresses will be added to our official mailing list in addition to any previously provided. Separate each email address with a comma (,).
Please provide a brief (up to 50 words) description of your group or organization. *
This is optional and may be displayed on your group or organization's profile page.
Full Name of Advisor/Coordinator
*
Please provide the contact information for the individual who will serve as the primary advisor or coordinator for this group. This could be a faculty member, mentor, or any designated representative. (Optional if not applicable.)
Position/Title of Advisor
*
For example, "Project Manager" or "GIS Specialist"
Affiliation of Advisor/Representative *
For example, Department of Geology and Geography at West Virginia University, Environmental NGO, or Local Community Organization.
Email Address of Mentor or Supervisor *
Please provide the email address of your mentor, supervisor, or advisor who will be supporting your involvement with the Unique Mappers Network.  
FULL MAILING ADDRESS *
Please provide the address where we should send your certificate of affiliation. Ensure it is written exactly as it should appear on the mailing label.
Did you learn about the Unique Mappers Network through someone in the OpenStreetMap (OSM) or Humanitarian OpenStreetMap Team (HOT) community? Please provide their FULL NAME. *
If someone other than those already mentioned in this form referred you to apply for chapter affiliation, kindly share their name. (Optional)
Affiliation with OSM, HOT, or other related organizations *
(optional)
Contact Person's Email Address *
(Optional)
Please acknowledge that you will provide the following documents after you submit this form *
Kindly email the documents as attachments to uniquemappersteam@gmail.com and cc. uniquemappersinfo@gmail.com with the subject line "Unique Mappers Chapter Application." Your application will be processed as soon as this form is submitted, though we appreciate receiving these documents promptly.  
Required
By selecting YES below, I confirm that I have read and agree to the Terms of Participation of the Unique Mappers Network. *
By selecting YES below, I confirm that I have read and accept the Unique Mappers Ethics Statement. *

By selecting YES below, I confirm that I have read and agree to the Unique Mappers Logo Use Policy and Permissions. 

 *
A copy of your responses will be emailed to the address you provided.
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