Join the ACCEED Volunteer Community! Personal InformationFirst NameLast NameEmail *Contact NumberTwitter handle (if available)GenderSelect GenderMaleFemalePrefer not to sayAge GroupSelect Age Bracket18-2425-2930-3536-4041-45Date of birthMonthSelect monthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year2006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979Select StateAbia StateSelect LGAsearch & selectABIA NORTHABA SOUTHAROCHUKWUBENDEIKWUANOISIALA NGWA NORTHISIALA NGWA SOUTHISUIKWUATOOBINGWAOHAFIAOSISIOMAUGWUNAGBOUKWA EASTUKWA WESTUMUAHIA NORTHUMUAHIA SOUTHUMU-NNEOCHIABIA NORTHSelect your WardEZIAMAINDUSTRIAL AREAOSUSU IOSUSU IIST. EUGENES BY OKIGWE RDURATTAOLD ABA GRAUMUOLAARIARIA MARKETOGBOR IOGBOR IIUMUOGORABA SOUTHSelect your WardEZIUKWUASAENYIAMANGWAOHAZU IOHAZU IIIGWEBUIKEEKEOHAGLOUCHESTERMOSQUEABA RIVERABA TOWN HALLAROCHUKWUSelect your WardOVUKWUOHAEKEOHAFOR IOHAFOR IIAROCHUKWU IAROCHUKWU IIIKWUN IHECHIOWAELEOHA IHECHIOWAUTUTUISUAROCHUKWU IIIBENDESelect your WardAMINKALU/AKOLIUFUBENDEUGWUEKE/EZEUKWUIGBERE ‘A’IGBERE ‘B’ITEM ‘A’ITEM ‘B’ITEM ‘C’ITUMBAUZOOZUITEMUMUHU/EZECHIUMU-IMENYIUZUAKOLIIKWUANOSelect your WardOLOKO IOLOKO IIIBERE IIBERE IIOBORO IOBORO IIOBORO IIIOBORO IVARIAMUSAKAISIALA NGWA NORTHSelect your WardAMASAA NSULUUMUNNA NSULUISIALA NSULUNGWA UKWU IINGWA UKWU IIJIEAMASAA NTIGHAAMAPU NTIGHAUMUOHAMBAWSI/UMUOMA INTAISIALA NGWA SOUTHSelect your WardAMAISE/AMAISE AIYABANGWAOBIMBUTU UKWUMBUTU NGWAEHI NA GURU OSOKWAAKUNEKPU EZIAMANA OBUBAOVUNGWUOVUOKWUOKPORO AHABAISUIKWUATOSelect your WardIMENYIEZEREISIALA-AMAWUISU-AMAWUOGUDUASAUMUNNEKWUACHARA/MBAUGWUIKEAGHA IIKEAGHA IIUMUANYI/ABSUOBINGWASelect your WardABAYI IABAYI IIMGBOKO UMUANUNUMGBOKO ITUN GWAAHIABAMGBOKO AMAIRIALAUKWU OHANZEAKUMAIMONDIAKATA/AMAIRINABUANTIGHAUZO AMAIRIIBEMEOHAFIASelect your WardISAMA OHAFIAEBEM OHAFIANDI ELU NKPORONDI ETITI NKPOROAMAEKE ABIRIBAAMAOGUDU ABIRIBAAGBOJI ABIRIBAOHAFOR OHAFIAOKAMU OHAFIAANIA OHAFIANDI AGBO NKPOROOSISIOMASelect your WardAMAVOAMAITOLU-MBUTU UMUOJIMAAMASATORARO-NGWAAMA-ASAAOSO-OKWAURATTAAMATORUMUNNEISEOKPU-UMUOBOUGWUNAGBOSelect your WardWARD ONEWARD TWOWARD THREEWARD FOURWARD FIVEWARD SIXWARD SEVENWARD EIGHTWARD NINEWARD TENUKWA EASTSelect your WardIKWURIATOR EASTIKURIATOR WESTAZUMINIUMUIGUBE ACHARAAKWETEOBOHIAIKWUEKE EASTIKWUEKE WESTNKPOROBE/OHURUIKWUORIEUKWA WESTSelect your WardASA NORTHOBOKWEOGWEASA SOUTHOBUZORIPU WESTIPU EASTIPU SOUTHOZAA UKWUOZAA WESTUMUAHIA NORTHSelect your WardIBEKU EAST IIBEKU EAST IINDUMEIBEKU WESTUMUAHIA URBAN IUMUAHIA URBAN IIUMUAHIA URBAN IIINKWOACHARANKWOEGWUAFUGIRIUMUHUISINGWUUMUAHIA SOUTHSelect your WardEZELEKE/OGBO DIUKWUOMAEGWUOHIAOCHAAMIAUKWU IAMIAUKWU IIOLD UMUAHIAAMAKAMAUBAKALA ‘A’NSIRIMOUBAKALA ‘B’UMU-NNEOCHISelect your WardAMUDAUMUAKUMBALA/ACHARAEZIN GODONDIAWA/UMUELEM/IHIE/AMORIEEZIAMA-UGWUEZIAMA-AGBOUBAHU/AKAWA/AROIKPAUMUCHIEZE IUMUCHIEZE IIUMUCHIEZE IIIOBINOLU/OBIAGU/LOMARAVolunteer Pathsearch & selectYouth DevelopmentDisability InclusionInnovation & IndustrializationClean EnergyClimate ActionWASH (Water, Sanitation& Hygiene)Humanitarian ActionEnterprise Development & Job CreationJustice & Human Rights ProtectionGender-based Violence EliminationInclusive Blue Economy DevelopmentJust Green Transition (Green Economy Inclusion)Inclusive Digital Transformation (Digital Economy Inclusion)Sustainable Democracy (Civic Participation & Engagement)Unity & Cultural IntegrationRepresentational Equity (Women in Leadership)Food SecurityHealth & WellbeingPeace & SecurityEqual Education OutcomesACCEED Program Volunteer Consent FormProgram Description: The Abia Communities Cooperative for Empowerment and Economic Development (ACCEED) Program is dedicated to promoting sustainable development and community engagement through various activities, including clean-up events, tree planting, recycling drives, educational workshops, advocacy and awareness events, etc. As a volunteer, you will play a crucial role in supporting these efforts and making a positive impact on the environment and your community. Participation: - I understand that my participation in the Community Green Impact Program is voluntary. - I agree to follow all instructions and guidelines provided by program coordinators and supervisors. Safety: - I acknowledge that I am responsible for my own safety and well-being while participating in program activities. - I agree to use any provided safety equipment and adhere to safety protocols. - I will promptly report any injuries or safety concerns to program coordinators. Conduct: - I will conduct myself in a respectful and responsible manner at all times. - I will respect the rights and property of others and act in a manner that promotes a positive and inclusive environment. Confidentiality: - I understand that I may have access to confidential information related to the program or its participants. - I agree to maintain the confidentiality of such information and not disclose it to unauthorized individuals. Media Release: - I give my consent for ACCEED to capture and use photographs, videos, or other media recordings of me during program activities for promotional and educational purposes. I understand that these materials may be used in print, online, or social media platforms. Liability Waiver: - I release and hold harmless the ACCEED Program, its organizers, partners, sponsors and volunteers from any and all liability, claims, injury, loss or damages that may arise from my participation in program activities. Medical Treatment: - In the event of an emergency, I authorize the program coordinators to seek medical treatment on my behalf.ConsentI have read and understood the above terms and conditions and AGREE to the above terms and conditions.Volunteer Verification InformationNINLast 4 Digits of your NIN *Your Unique Volunteer ID Number would be generated with this.0 / 4Name of RefereeReferee Address *CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweReferee Contact Phone NumberAdditional Volunteer InformationWho would you like us to contact on your behalf, in case of an emergency?Emergency Contact NameEmergency Contact Phone NumberPassword *Confirm Password * Submit