First name
Last name
Email
1.
Name of organization?
2.
Country?
3.
Organization website?
4.
Organization email address?
5.
Name or main contact person/ liaison?
6.
Email address of contact person/ liaison?
7.
How did you hear about ICAN?
8.
Have you worked with any existing ICAN partners? If yes, please specify.
9.
What motivated your organization to apply for an ICAN partnership?
10.
Please very briefly describe your organization including its objectives and activities?
11.
What previous activities for example: (education, advocacy, research, capacity-building etc.) has your organization carried out in relation to a ban on nuclear weapons or in relation to disarmament, or peace and security?
12.
Any other information we should know to support your application?
13.
We have read and agreed to the ICAN partnership pledge?
Please select
Yes
No
14.
We have read and agreed to abide by ICAN's statement of values and protection of diversity, equal opportunities, personal rights and dignity?
Please select
Yes
No
15.
Have you read the Treaty on the Prohibition of Nuclear Weapons (TPNW)?
Please select
Yes
No
16.
What is your government’s position on the Treaty on the Prohibition of Nuclear Weapons (TPNW)?