LIS-Water - Associateship Application form (for corporates)

Thank you for your interest in joining LIS-Water Ecosystem as an official associate.

Please fill-in the form below.

Contact Information

Name *

Position held *

Email *

Phone

Would you like to add another person's contact?

Yes

No

Name of secondary contact person

Position held

Phone number

E-mail

Credentials

Full name of organization *

Address

Country of location

Official Organisation Website and Social Media Accounts

Describe the main activities and/or services provided by your organization *

Classification of the Organisation

State Entity or Corporates *

State Entity or Corporates Other (please specify)

Type of Organisation *

Focus *

Focus Other sectors (please specify)

Geographical outreach by legal status *

Size (no. employees)

Preferred language for communication

Motive for associateship

Why does your organisation wish to be part of LIS-Water Ecosystem?

What is your organization's interest in getting involved in the core areas of activity of LIS-Water of LIS-Water (5 - highest interest, 1 - residual or no interest)

	1	2	3	4	5
Research and Innovation *	Research and Innovation - 1	Research and Innovation - 2	Research and Innovation - 3	Research and Innovation - 4	Research and Innovation - 5
Think tank and strategic advice *	Think tank and strategic advice - 1	Think tank and strategic advice - 2	Think tank and strategic advice - 3	Think tank and strategic advice - 4	Think tank and strategic advice - 5
Education, training, and capacity building *	Education, training, and capacity building - 1	Education, training, and capacity building - 2	Education, training, and capacity building - 3	Education, training, and capacity building - 4	Education, training, and capacity building - 5
Business support, incubation, and acceleration of start-ups *	Business support, incubation, and acceleration of start-ups - 1	Business support, incubation, and acceleration of start-ups - 2	Business support, incubation, and acceleration of start-ups - 3	Business support, incubation, and acceleration of start-ups - 4	Business support, incubation, and acceleration of start-ups - 5
Social engagement *	Social engagement - 1	Social engagement - 2	Social engagement - 3	Social engagement - 4	Social engagement - 5

Please note that it *

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