Sign Up Page for the Extractive Industries Community in Cambodia

Please follow these three sign-up steps:

STEP 1: Before deciding to join, be sure to read About Us to learn what it means to be a Community member of Solution Exchange, and how to participate. There are several unique features of these Communities, and understanding how they work helps to ensure that this experience meets your expectations.

STEP 2: Complete the sign-up form, below, to provide us with some basic information about yourself. This information is requested from all community members to help us better serve your needs. If you had earlier joined or requested to join a Community, all the information will be pre-filled, except for any “burning issues” you had specified in your earlier applications. You can add new “burning issues” you may want this community to help you with. You can also edit any of the pre-filled information.

STEP 3: Hit the sign up button at the bottom of the form. Doing so also indicates your acceptance of the Membership Agreement.

As soon as we review your application the relevant Moderator will contact you. For Communities actively seeking members, you can expect a response within three days. For Communities being launched in the near future, we will hold on to your application until the Community’s organization begins.

To sign up to another Community, return to the Introduction Page after submitting this form, and make a new selection.

If you have any questions, contact us at Coordinator, Solution Exchange, and we will be happy to help.

Sign Up Form
* Fields are Mandatory

* Your email address:
* Your Full Name:
Title: (Mr. Ms. Mrs. Dr. etc)
* Gender:
Your Designation:
* Your Organisation Name: (If you work for one)
* What type of Organisation is this? Select One	Government or public service agency (Ministry, Department or state agency or political authority) International or Local Ngo (Not-for-Profit Organisation focussed on service delivery) Foundation, research, academic or policy (Public or private philanthropy, research or teaching organization) UN or Intergovernmental agency (United Nations or other intergovernmental develoment-oriented body) Multi- or bilateral organization (Intergovernmental finance institution; bilateral donor) Private sector company (A for-profit organization) Programme or project (A time-bound initiative created to achieve specific outcomes) Association (A voluntary organization of people with a common affiliation) Independent consultant(A non-affiliated professional in the development sector) Media Organization (An organization publishing for public consumption) Other (e.g., student) Organizational type categories not otherwise covered
* Your Postal Address:
* City or Town:
Postal Code:
* Your Province/State:
* Your Country:
* The Telephone Numbers you Prefer to use:
How did you find out about Solution Exchange?
If it was from a community member, tell us the name or e-mail : (if known)
Optional: Are there any “burning issues” you would like the community to help you with? List up to five.
*I have read and accept the Membership Agreement	Yes No
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