GNA CAA Governance Model – Application Form

The Coverage Area Administrator (CAA) Governance Model is a civic governance framework designed to strengthen grassroots accountability and community development. This form is for individuals who wish to serve in the CAA governance structures.

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Are you a registered member of GNA? Yes
No

Enter Membership ID or Registered Email

Title*

Please Specify

First name*

Last name*

Email *

Current Country of Residence*

State/Region of Residence*

Phone Number

State of Origin/Residence (In Nigeria)*

LGA of State of Origin*

Town / Community *

Professional Group

Highest Qualification

Position Applying For

Community Leadership Experience

Provide information about any community leadership or civic engagement experience relevant to this role.

Why do you want to serve in the CAA Governance Model?

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