Membership Application

ENGLISH

ENGLISH

Fields marked with an * are required

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Membership Application Form 2024-2025

Type Of Applicant *

New Applicant (Parts A, B, D Are Required)
Renewing (Parts A And D Are Required)

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Part A - To be completed by ALL APPLICANTS

First Name as in Passport *

Surname as in Passport *

Nationality or Nationalities *

Passport / ID Number *

Email Address *

Official / Registered Address *

Type of membership preferred *

Full (300 Gel)
Associate (200 Gel)

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Please note that Associate membership is offered only to Georgian citizens, former full members no longer residing in Georgia, and spouses/partners of current full members.

Associate membership offers the same benefits and privileges as full membership, without the voting rights, the right to hold an elected office, the involvement/influence in any committee function and the right to serve as leader of any interest groups.

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Part B - To be completed by NEW APPLICANTS only

Name(s) Of Referee(s)

Phone number for WhatsApp

Facebook address (If you'd like to be added to IWAG FB page)

Birthday (day/month/year)

Languages spoken

Part C - Optional but appreciated!

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When organizing events and carrying out our work throughout the year, it is often useful to draw on the contacts and/or skills of our membership group.

If you, or anyone in your household, works in or have any contacts at any international organizations or embassies, please provide details:

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If you, or anyone in your household, have experience of event planning, fundraising, marketing, graphic design, IT or any other skills that you think may be useful, please provide details:

Details

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Part D - To be completed by ALL APPLICANTS

By submitting this form I confirm to have read and accepted the IWA Georgia Constitution. I also agree that, when necessary, strictly for the purposes of IWA Georgia activities only, my email address and/or phone number can be shared with other IWA Georgia members. *