Partnership Registration Form
Join the Movement. Shape the Future. Partner for a Better Nigeria.
Step 1: Personal Information
Full Name (Required):
Date of Birth (Required):
Gender:
Male
Female
Email Address (Required):
Phone Number (Required):
State of Residence:
Select State
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
FCT
LGA (Required):
Professional & Social Details
Occupation / Profession (Required):
Organization / Business Name:
Position Held:
Areas of Interest (Select all that apply - Required):
Job Creation
Economic Growth
Security & Peace Building
Women & Youth Empowerment
Community Development
Digital Transformation & Innovation
Your Commitment as a Partner
Why do you want to join Renewed Hope Partners? (Optional - Max 200 words):
0/200 characters
How can you contribute to the Renewed Hope Agenda? (Select one or more):
Advocacy & Awareness
Financial Support
Technical Expertise
Volunteer Work
Policy Input
Membership Category (Required)
Individual Partner
Corporate Partner
Community Leader Partner
Diaspora Partner
I confirm that the information provided is accurate and I agree to abide by the vision, mission, and code of conduct of Renewed Hope Partners.
I consent to receive updates and communications from RHP.
Digital Signature:
Date:
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