BECOME A MEMBER Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please note. Registration with the National Youth Authority (NYA), is mandatory for all applicant groups. If your group is not yet registered, proceed to complete this form. The team will support your NYA registration at a later stage. Part A: Organization Information of Website/Active Contact Is your group/organization registered with the National Youth Authority *YesNoRegistration Number with National Youth Authority (Required) *Full Name of Youth Group/Organization *About Your Organization *Briefly describe your organization’s mission, main activities, and target beneficiaries (Max. 200 words):Is your organization Registered with Registrar of Companies *YesNoWhat is Your Registration Number *Organization's Email Address *Provide your most active email.Organization's Phone Number *Organizations Website/Active Social Media linkYear of Establishment *Category & Scope (Tick all that apply) *Youth-LedYouth-Serving (Youth-focused)Student GroupFaith-Based Youth OrganizationNGOOther (Specify):Specify *Operational Level: *DistrictRegionalNationalPhysical/Postal/Digital Address: *District *Region *--- Select Your Region ---Ahafo RegionAshanti RegionBono RegionBono East RegionCentral RegionEastern RegionGreater Accra RegionNorth East RegionNorthern RegionOti RegionSavannah RegionUpper East RegionUpper West RegionVolta RegionWestern RegionWestern North RegionCommunity/Town (if applicable): Is your organization and member-based-organization *YesNoTotal Number of Members: *N# of Female Members *N# of Male Members: *N# of Members with Disabilities (PWDs) *N# of Members between 18–24 years: *N# of Members between 25–35 years: *N# of Members 36+ years *List of Key Executives/Directors (Name, Role, Gender, Contact) *Programmes & Focus Areas *Entrepreneurship & EmploymentEducation & Skills DevelopmentGender & InclusionCivic Engagement & GovernanceClimate & EnvironmentArts, Sports & CultureHealth and WellbeingOther (Specify)Upload NYA Registration Certificate (Required) * Drag & Drop Files, Choose Files to Upload Upload Constitution (Optional) * Drag & Drop Files, Choose Files to Upload Upload ORC Certificate * Drag & Drop Files, Choose Files to Upload Part B: Contact Person (Representative) InformationFull Name: *Gender *FemaleMalePosition/Role in Organization: *Phone Number: *Email Address: *District & Region of Residence: *Submit ApplicationSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link
