Register for water Actions

1. Personal Information:
Title: ---Mr.Ms.Mrs.Dr.Prof.
Full name*:
City:
Country*:
Phone Number:
Email*:
Expertise/Education*: ---Water & SanitationEnvironment & HealthPublic HealthCivil & Water EngineeringLegal & AdministrationFinance & AccountingSocial & EconomyMedia & CommunicationInformation TechnologyOther - EngineeringOther - Science

2. In the loop
In what capacity would you like to contribute at a later time:

 I am interested in. Please keep me informed as I may contribute later

 Willing to contribute time/expertise when the initiative is launched in 2018

 My organisation/company can be interested in this initiative, Name of the organisation/company:

3. On board right now
In what capacity would you like to contribute now :

 As a launching team to work on the preparatory

 To provide advisory support to this initiative

 To motivate others to register and contribute

 To co-lead the initiative

 To volunteer - collect data

4. Action Areas of Interest
Please check one or more of the following of your interest:

 Technology: share ideas, knowledge & experience

 Community: share ideas, knowledge & experience to raise community awareness

 Policy: share ideas, knowledge & experience on how to link identified solutions and practices to country's water policy

 Fund raising: identify innovative funding mechanisms to finance projects and practice implementations

5. Comments/Suggestions
Please provide your comments or suggestions in the following field: