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 iEARN PAKISTAN
 Affiliate of iEARN, The International Education and Resource Network

iEARN Pakistan " Connecting youth making a difference"
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iEARN Pakistan Membership Form

YOUR APPLICATION WILL NOT BE REVIEWED AND ATTENDED IN CASE ANY OF THE REQUIRED FILED IS LEFT INCOMPLETE.

 

  1. Please identify yourself (Name):
    First name (REQUIRED )
    Last name (REQUIRED )
    Date of birth (REQUIRED )
    Sex Male Female (REQUIRED )
  2. Please provide the following contact information:
    Name
    Title
    School/Organization (REQUIRED )
    Street address (REQUIRED )
    Address (cont.)
    City (REQUIRED )
    State/Province (REQUIRED )
    Zip/Postal code
    E-mail (REQUIRED )
  3. Membership : (REQUIRED )

    Individual
    School/Organisation

    If your school/organisation is interested

  4. Principal/Director
    First name
    Last name
    Work Phone
    E-mail
    URL
  5. A brief introduction of yourself

  6. Introduction or brief profile of your organisation (location, socio economic background, age of students, number of students, classes, goals of your organization, etc.)


  7. Briefly describe the connectivity of your school. (e.g. no. of computers, Pentiums or Celeron, Internet or not, Usage of computers, etc.)


  8. Why you/your organisation is interested in iEARN?(REQUIRED )


  9. What do you/your organisation hope to achieve through involvement in iEARN?


  10. How did you come to know about iEARN?(REQUIRED )


 

             
 


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