IWMI Country Chapter Application Form

Thank you for your interest in establishing an IWMI Country Chapter.

IWMI Country Chapters serve as local hubs connecting women-focused mentoring organizations, leaders, and professionals, aligned with IWMI's global mission.

All applications are subject to review and approval by the IWMI Secretariat. Application is FREE of charge.

* Indicates required question

Email *

Applicant Information

Full Name *

Professional Title / Position *

Country *

Mobile Number (with country code) *

LinkedIn Profile

IWMI Membership Confirmation

Are you an active IWMI Individual Member? * Yes No (I understand membership is required before approval)

Country Chapter Details

Proposed Chapter Name *

Why do you want to establish an IWMI Country Chapter? *

What is your experience in mentoring or leadership initiatives? *

Proposed Core Team

Do you have an initial core team? * Yes No (I plan to build one)

If yes, list key team members and roles (e.g., Program Lead, Partnerships Lead) *

Confirm that all core team members will be IWMI Individual Members * Yes

Local Engagement Plan

How do you plan to engage the local mentoring community? *

Potential partners or organizations you plan to collaborate with *

Planned activities (select all that apply) * Mentoring Programs Networking Events Knowledge-Sharing Sessions Workshops / Training Partnerships with Organizations Nomination for IWMI Global Mentoring Program Other:

Commitment and Declaration

I understand that Country Chapters must align with IWMI's mission, standards, and Code of Conduct * Yes

Would you like guidance on setting up your Country Chapter? * Yes

I understand that the IWMI Secretariat retains final approval for establishing Country Chapters * Yes

I commit to maintaining active IWMI membership for myself and core team members * Yes

I understand that IWMI does not provide legal status to Country Chapters, and that all local activities must comply with applicable laws and regulations in my country. * Yes

I confirm that the information provided is accurate and complete * Yes

Signature (Type Full Name) *

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