Membership Application Form

Thank you for your interest in joining the SEEP Network. We are pleased to welcome new members throughout the course of the year. This form needs to be completed to apply for membership. Upon receipt, we will review prior to forwarding to the SEEP Board of Directors for a decision. If you have any questions concerning the application form or the status of your submission, please contact us at membership@seepnetwork.org. We look forward to learning about your organization.

- The SEEP Member Affairs Team

Organization Name and Address

Name*
Type*

Headquarters Address

Street Address*
Apt/Suite/Office
City*
State/Province
Postal Code*
Country*

Designated Representatives Email addresses for the Official Representative, Secondary Contact and Communications Contact will appear in the password-protected SEEP Member Space on the SEEP website.

Official Representative

First Name*
Last Name*
Email Address*
Job Title*

Secondary Contact

First Name*
Last Name*
Email Address*
Job Title*

Communications Contact

First Name*
Last Name*
Email Address*
Job Title*

Head of Organization

First Name*
Last Name*
Email Address*
Job Title*
Indicate below if your Head of Organization should be 'opted in' or 'opted out' of SEEP newsletters.*

Organizational Background

Website*
Mission Statement*
Year Founded*
Indicate the number of employees working for your organization worldwide.*
Were you referred by any current SEEP members? *
Please list the referring member organization(s) and separate by commas.

Geographic Reach and Practice Areas

In what countries do you currently have programs? (This is a multi-select list. Please hold the "CTRL" button while making your selection to highlight multiple countries.)* Please note that this information will be used to populate our membership map on the website.
If there are countries where your organization has programs, but are not listed above, please note here and separate by commas.
Our organization works in the following practice areas. (This is a multi-select list. Please hold the "CTRL" button while making your selection to highlight multiple countries.)*

Application Questions We want to learn about your organization and why you are interested in joining the SEEP Network. Please respond to the questions below.

Why is your organization interested in joining SEEP?*
As a network, our collective vision is: Markets that provide opportunities for all people to engage and prosper. How is your organization contributing to this vision?*
The strength of our network is dependent upon active member engagement. Please describe your organization's ability to contribute to collaboration and learning in the network.*

Supporting Documents A copy of your organization's most recently audited financial statements An organizational brochure or annual report A copy of your organization's official letter, certificate or articles of incorporation, stating legal status

Audited financial statements*
Organizational brochure or annual report*
Incorporation document*
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