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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

ID Number

Phone number/WhatsApp

Alternative phone number

Email Address

Martial Status

Governate

Exact residential address

Do you have any mobility or physical issues?

Yes

Mention its type and degree

Do you have a fixed monthly income

Yes

Maybe

Are you the primary breadwinner for any family member?

Yes

Maybe

Experience And Qualifications

Education Level

Academic specialty, if applicable

Do you currently have a job or profession

Please Specify

Scope of work

What sector do you work in?

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

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

If the answer is 'Yes,' please specify the program(s) or activity(ies) you have participated in

Upload Personal ID

Reach Us

P.O.Box: 2193, Amman, Jordan Al Madinah al Munawarah Street, Raga Al-Aboushi Complex.Bld No 246 . 3rd Floor
[email protected]
+962 0775449446

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