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Economic Empowerment Network
Personal Information
Full Name (Please enter your full name in Arabic as it appears on your official ID, consisting of four parts)
Gender
Select
Male
Female
ID Number
Phone number/WhatsApp
Country
Alternative phone number
Country
Email Address
Martial Status
Select
Married
Single
Divorced
Widowed
Governate
Select
Irbid
Ajloun
Jerash
Mafraq
Balqa
Amman
Zarqa
Madaba
Karak
Tafilah
Maan
Aqaba
Exact residential address
Do you have any mobility or physical issues?
Yes
No
Mention its type and degree
Do you have a fixed monthly income
Yes
No
Maybe
Are you the primary breadwinner for any family member?
Yes
No
Maybe
Experience And Qualifications
Education Level
Select
less-than-high-school
High school
Diploma
Bachelor
Postgraduate
Academic specialty, if applicable
Do you currently have a job or profession
Select
Yes currently employed
No not working
Inactive for more than 3 months
Inactive for less than 3 months
Have never worked before
I have my own business/project
Other
Please Specify
Scope of work
What sector do you work in?
Select
Government sector
Private sector
Non private sector
Other
Field of Expertise
Please specify your field of expertise, if applicable
Please list any training courses or professional certifications you hold, if applicable
Do you belong to a specific organization, entity, or association?
Yes
No
Name of the organization or association you belong to
What is your role in the organization or association?
Open question: Please provide a paragraph describing your qualifications and experience.
Participate in decision-making
What are your expectations after joining the Women's Economic Empowerment Network?
Have you previously participated in any activities or programs by Al-Hayat Center – Rased?
Yes
No
If the answer is 'Yes,' please specify the program(s) or activity(ies) you have participated in
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