Register — Pioneers of Change

User name (Required)

Enter a user name, usually something like 'jsmith'. No spaces or special characters. User names and passwords are case sensitive, make sure the capslock key is not enabled. This is the name used to log in.

Full name

Enter full name, eg. John Smith.

E-mail (Required)

Enter an email address. This is necessary in case the password is lost. We respect your privacy and will not give the address away to any third parties or expose it anywhere.

Password

Minimum 5 characters

Confirm password

Re-enter the password. Make sure the passwords are identical.

Send a mail with the password

Portrait

To add a picture of yourself: click the "Browse" button; select a picture of yourself. Recommended image size is 75 pixels wide by 100 pixels tall.

Commitment statement

I commit to be myself, do what matters, start now, engage with others and never stop asking questions. Write how you will make these principles a reality in your life

Street address

Enter street address, e.g. 1 Acacia Avenue

City

Enter city or town

State or Province

Enter state or province

Country of Residence

Select your country of residence

Nationality

Enter your nationality / citizenship

First Language

Enter your first language

Second Language

Enter your second language

Third Language

Enter your third language

Gender

Select your gender

Male
Female

Tell us about yourself

Write a short bio / description of yourself. Try and write it specifically for the Pioneers of Change network; i.e. don't just paste in your usual CV/Resume

How can Pioneers of Change support your work?

Write a description of what you expect and/or hope to gain from your participation in the network

What can you offer to other Pioneers in the network?

Write a description of what you are offering to other network members

How did you hear about Pioneers of Change

Select the option that most closely matches how you were introduced to the network

CheckOn Process: Who are you now?

CheckOn Process When you think of the principle be yourself; Who are you now?

CheckOn Process: Who have you been some years ago?

CheckOn Process When you think of the principle be yourself; Who have you been some years ago?

CheckOn Process: What have you been doing ?

CheckOn Process When you think of the principle do what matters; What have you been doing?

CheckOn Process: What had you planned to do?

CheckOn Process When you think of the principle do what matters; What had you planned to do?

CheckOn Process: What are you planning to do?

CheckOn Process When you think of the principle do what matters; What are you planning to do?

CheckOn Process: How did it feel to follow this principle over the last years?

CheckOn Process When you think of the principle start now; How did it feel to follow this principle over the last years?

CheckOn Process: What are your next steps?

CheckOn Process When you think of the principle start now; What are your next steps?

CheckOn Process: What do you need to start now?

CheckOn Process When you think of the principle start now; What do you need to start now?

CheckOn Process: Whom did you link or team-up with in PoC?

CheckOn Process When you think of the principle engage with others; Whom did you link or team-up with in PoC?

CheckOn Process: Who will you engage with for the next phase?

CheckOn Process When you think of the principle engage with others; Who will you engage with for the next phase?

CheckOn Process: Which answers did you get to your initial questions?

CheckOn Process When you think of the principle never stop asking questions; Which answers did you get to your initial questions?

CheckOn Process: What are your burning questions now?

CheckOn Process When you think of the principle never stop asking questions; What are your burning questions now?

CheckOn Process: About the Network: How would you like to engage with the network in future?

Select the option that most closely matches

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