Life in Africa
WE Centers Uganda
Grassroots Community Registration

Community Name

Location in Uganda

Mailing address

Community's website (if any)

Director's name:

Director's phone number:

Director's email address:

Your name:

Your role in the community

Your phone number:

Your email address:

Please describe the purpose of your community in 1 sentence.

Briefly describe what your community does, including
services and key activities that community members
participate in.

How many people are involved in your community?
(include staff, volunteers, and beneficiary members)

Please indicate any Life in Africa activities
your community has already been involved in

Enter below the names of 3 - 5 members (including
yourself, if applicable) who will have access to
WE Center services and activities from your community.
Activities include internet4change training, sales &
savings, microfinance, craft production, adult education.
Members listed may be staff, volunteers or beneficiary
members. You will be able to register more members
once your registration has been verified.

Member name

Phone (if any)

email address (if any)

Member name

Phone (if any)

email address (if any)

Member name

Phone (if any)

email address (if any)

Member name

Phone (if any)

email address (if any)

Member name

Phone (if any)

email address (if any)

Please provide a professional reference contact for
your community.
The reference contact can be from a partner organization, a
network you belong to, or a donor organization in Uganda
or abroad, and should have a clear understanding of your
community's activities and objectives.

Reference's Name

Reference's Organization

Reference's telephone

Reference's email

Nature of your community's relationship
with the reference contact.

Please make sure you've left nothing blank.
When you click submit you will see a page that
tells you how to pay the shs. 100,000 community
registration fee and what you can do next.

Life in AfricaWE Centers UgandaGrassroots Community Registration

Life in Africa
WE Centers Uganda
Grassroots Community Registration