INOVAS MEMBERSHIP FORM FOR INDIVIDUALS

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INOVAS MEMBERSHIP FORM FOR INDIVIDUALS

Thank you for your interest in becoming a member of INOVAS. We kindly ask you to complete the application form provided below. Please note that questions marked with an asterisk (*) are mandatory and require essential information.

INOVAS ensures that all the information provided in this application is treated with the utmos confidentiality and will not be shared with any external parties.

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PART 1 - Personal information

Name
*

Last Name
*

Nationality
*

Date of Birth
*

Email
*

Phone Number

Please provide the phone number in the following format: +[country code][phone number]

Address

Address line 1
*

Address line 2

City
*

State, Province, or Region
*

Country
*

Website or Social Media Pages (if applicable)

Are you a victim or survivor of serious human rights abuses?

Yes

Please describe your experience as a victim or survivor of serious human rights abuses. (Max. 500 words)

PART 2- General information related to the membership criteria

How did you hear about INOVAS?

Please describe your reasons for wanting to become a member of INOVAS and how you believe your membership will contribute to the network and its mission. (Max. 500 words)

What is your current occupation/ role?
*

Do you work in an organisation or have your own victim and survivors led organisation? If yes, please provide the name, brief description of the organisation as well as its website (if available)
*

Are you currently leading or significantly contributing to a human rights movement in your country? If so, please provide details about the movement and your role within it. (Max. 500 words)
*

Can you please describe the challenges related to human rights that your country is facing? (Max. 500 words)
*

Can you briefly explain the strategies or initiatives you are implementing to overcome these challenges? (Max. 500 words)
*

In the past two years, have you participated in any meetings or conferences related to human rights?

Yes

Can you provide links to any publications, testimonials, activities or other relevant materials that support your work?

Yes

If you answer is yes, please provide the relevant links below

PART 3 - References of qualified persons or organisations who may know of the your work & whom we could contact for their comments or opinions.

Where possible, at least two references should come from the individual’s country of work

Reference 1
*

First and Last Name, Position, Organisation, Email Address, Phone Number

Reference 2
*

First and Last Name, Position, Organisation, Email Address, Phone Number

Reference 3

First and Last Name, Position, Organisation, Email Address, Phone Number

PART 4 - Supporting links

You may include links to articles, reports, coverage etc. of the applicant's work.

By submitting this application, do you confirm that you accept and agree to comply with the vision and objectives of INOVAS?

Yes

By submitting this application, I hereby affirm that all information provided is accurate and complete to the best of my knowledge
*

I confirm

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