This form allows you to apply for a DLIST partner kiosk.

Review the introduction page to see who may apply for a kiosk, and to learn why it could be a really good idea to open a kiosk.

Kiosk Name
Description Enter a description of the activities and or mission of the organisation/group
Relevant Activities You can select multiple activities by holding down the Ctrl key while clicking	Public awareness/advocacy Training Research and education Local capacity building Policy development Poverty reduction Technical assistance Integrated development planning
Our activities are not listed
Target Area
Kiosk Contact Details	Address: Phone: Email: Website:
Additional Information
Kiosk Manager (the person responsible for updating the kiosk)	Name: Tel: Email:
Your email
= Required