Calling individuals engaged in and committed to transformative change for people, planet and prosperity.
We are now inviting individuals to participate as independent GRLI Associates. Kindly complete this application form and if your application is successful we will send you a link to our secure donation form for payment processing.
A few really easy questions to help us identify and contact you...

You will also have the option of attaching your photo. A jpeg or png no smaller than 300x300 pixels would be great!
What is your first name? *

Hi {{answer_mCv3ib5D0C7e}}...what is your last name / surname? *

Which organisation(s) are you linked to and in what capacity?

Leave this blank if not relevant.
{{answer_mCv3ib5D0C7e}} please upload a recent profile picture of yourself

A JPG or PNG sized at least 300 x 300 pixels showing head and shoulders is best for displaying on the GRLI website.
Thank you {{answer_mCv3ib5D0C7e}} this takes us to the next part of the application.

We are interested to hear what questions and contributions you would like to bring to the GRLI...ready?

Please explain briefly what you would like to achieve by participating in this initiative and comment briefly on what skills/specific experience/resources/knowledge or other value you envisage bringing to the GRLI... *

What emerging and significant industry development(s) keep you awake at night? *

If you don't have any trouble falling asleep then what significant issues and opportunities get you out of bed in the morning?
What are the burning issues and opportunities in your work or role that you would be interested in addressing within the context of the GRLI?

If the points raised from the previous question covers it then please proceed to the next question.
Signing the virtual agreement *

As Independent Associate I undertake to donate €190 or minimum equivalent to two hours’ wages to the GRLI Foundation.

Payment by EFT

Detail we need for financial and legal purposes should your application succeed...
Person or organization responsible for paying your invoice? *

Address and other details (e.g. VAT number) that must appear on the invoice? *

Online payment by credit card

We use Donorbox and Stripe for accepting payments. Stripe processes billions of dollars of payments every year for companies of all sizes across the world from startups to public corporations. It is a secure system.

Click on the link to access the form:

Once your Donorbox payment has been processed please click "Continue" below.
Have you completed the payment at Donorbox? *

Thank you for submitting an application to join the GRLI.

Please check your inbox for an email from us.
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