Registration Please enable JavaScript in your browser to complete this form.1Demographic Data2Organizational ProfileName *FirstLastTitle *Organization/Institution *Email *PhoneTwitter HandleWebsite/LinkedInCountry of Residence *ZimbabweZimbabweAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaÅland IslandsParticipationParticipation *Self funded (Travel and Accommodation)Require SponsorshipIf required, please indicate type of sponsorship neededed TravelAccomodationWhere will you be travelling from?NextPlease describe the focus of your movement/organizationEconomic justice issuesDemocracy and governance issuesClimate change issuesOther (please specify)OtherHow long have you been active/operational? *0- 1 Year2-5 Years6 - 10 yearsOver 10 yearsWhat is your membership/constituency size? *Under 1011-3031-5051-100101-500501-1000Over 1000Have you attended any edition of the African Social Movements Baraza?YesNoIf yes, which edition?1st ASMBaraza, 20182nd ASMBaraza, 2022What strategies do your movement/organization use most successfully?AdvocacyCampaigningCoalition BuildingGrassroots Organizing and MobilizingKnowledge generationResource MobilizationHave you worked with other movements on joint campaigns and advocacy processes? *Have successfully coordinated joint campaignsHave successfully led advocacy processes with policy resultsHave not collaborated with others on movement building processesWe will provide conference participants with a Participant List. Please select what you would like included on this list: *Name OnlyName/Organization OnlyName/Affiliation/EmailDo not publish my informationWhat language are you most comfortable communicating in?EnglishFrenchPortugueseOtherDo you consent to using your data for this event and future communications related to the event? *YesNoDo you consent to being photographed or recorded during the event? *Yes (I allow)No (Opt-out)Receive UpdatesI would like to receive email updates regarding future conferencesPlease provide any additional comments or questions regarding the BarazaPreviousSubmit
