Become a member

Thank you for choosing to become a member of the African Neonatal Nutrition Network!

Please fill out the form below to become a member.

Title *

If title is other, please specify *

Name *

First

Last

Country *

Role *

If role is other, please specify *

How many years of experience do you have in neonatal health care? *

Which social media sites/applications do you use? Please tick all that apply. *

This will be used to determine future promotional activities of the network.

If social media sites/applications is Other, please specify *

Email address *

Mailing list

I consent to joining the African Neonatal Nutrition Network mailing list, which will include updates on new resources and events.

Please note: This is necessary to become an active member of the network.

Manufacture *

I am not working for, or affiliated with, commercial organisations including those involved in food or infant formula manufacture.

Healthcare Professional *

I am a healthcare professional, student, academic/scientist, parent/carer, or advocate.

Use of country and role

I permit the use of my country and role for the sharing of network/course learner demographics.

Your name and contact address will not be shared.

Please set a Username and Password for your account.

Username *

Password *

Password

Confirm Password