MEMBERSHIP FORM (PASSIVE MEMBERSHIP)

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1 FILL IN THE FORM BELOW BY HAND WITH THE REQUIRED INFORMATION. TICK WITH A WHERE REQUIRED. PERSONAL DETAILS TITLE: FIRST MIDDLE SUR SEX: DATE OF BIRTH: RESIDENTIAL ADDRESS: CITY: POSTAL CODE: COUNTRY: NATIONALITY: OCCUPATION: ADDRESS: PHONE(S): EDUCATION EDUCATIONAL LEVEL ATTAINED: GRADUATION YEAR: SECONDARY/HIGH SCHOOL(S) ATTENDED: HIGHER INSTITUTIONS(S) ATTENDED: LITERARY INVOLVEMENTS LITERARY SKILLS: PROSE POETRY PLAY STAGE PLAY SPOKEN WORD POETRY ESSAYS JOURNALISM INSPIRATIONAL PIECES READING AND REVIEWING BLOGGING

2 LITERARY INVOLVEMENTS PUBLISHED WORK(S) (if any): PUBLISHER: LITERARY AWARD(S) (if any): DO YOU RUN ANY LITERARY INSTITUTION, PRESS, MAGAZINE, OR ONLINE OUTFIT? YES NO IF YES, NAMES IT/THEM: OTHER LITERARY INSTITUTIONS, PRESS, MAGAZINES, OR ONLINE OUTFITS YOU ARE ASSOCIATED WITH (EXCEPT THE ONES YOU RUN): ONLINE PRESENCE WEBSITE: BLOG: FACEBOOK LINKEDIN PROFILE: TWITTER YOUTUBE CHANNEL: WATTPAD USER GOOGLE+: GOODREADS:

3 ROUTE AFRICA BRIEFLY STATE WHY YOU WISH TO JOIN ROUTE AFRICA: ROUTE AFRICA ACTIVITY UNIT(S) YOU WISH TO BE ASSOCIATED WITH: MEET AFRICA INITIATIVE (MAI): SPOKEN WORD POETRY (SWP): WORDS TO LIFE (W2L): PROSE AND POETRY (P&P): PERCHERS: BLOGGERS UNITE (BU): READERS CLUB (RC): THE NEWSMEN (TN): TERMS AND CONDITIONS (MEMBERSHIP CLAUSES) I PLEDGE TO NOT PARTICIPATE IN ANY ACTION THAT WILL THREATEN THE COPYRIGHT SECURITY OF ROUTE AFRICA OWNED CONTENT TO ANY DEGREE WHATSOEVER, AND TO NOT PARTICIPATE IN POACHING, THEFT, OR OTHER ILLEGAL ACQUISITION OF ROUTE AFRICA OWNED CONTENT OR INTELLECTUAL PROPERTY. I PLEDGE TO PAY ANY REQUIRED PERIODICAL MEMBERSHIP FEE FOR THE DURATION OF MY INVOLVEMENT WITH ROUTE AFRICA, WHICH STATUTORILY INCLUDES ANY WEEKLY, MONTHLY, YEARLY, ETC DUES, OR VOTIVE PAYMENTS. I PLEDGE TO OBEY RULES SET OUT BY ROUTE AFRICA THAT DO NOT THREATEN MY PHYSICAL, MENTAL, EMOTIONAL, OR SOCIAL WELL-BEING. GIVEN THE OPTIONAL NATURE OF PARTICIPATION IN ACTIVITIES STRICTLY REQUIRED OF AN ACTIVE MEMBER FOR A PASSIVE MEMBER, I PLEDGE TO GIVE FULL PARTICIPATION IN ANY SUCH ACTIVITY CHOSEN BY ME, IF AT ALL CHOSEN.

4 PARTNERSHIP CLAUSES (any unchecked box renders the partnership deal as partial and not full) I PLEDGE TO NOT PARTICIPATE IN ANY ACTION THAT WILL THREATEN THE COPYRIGHT SECURITY OF ROUTE AFRICA OWNED CONTENT TO ANY DEGREE WHATSOEVER, AND TO NOT PARTICIPATE IN POACHING, THEFT, OR OTHER ILLEGAL ACQUISITION OF ROUTE AFRICA OWNED CONTENT OR INTELLECTUAL PROPERTY. I PLEDGE TO WILLINGLY REACH OUT TO AFRICAN SECONDARY/HIGH SCHOOLS/HIGHER INSTITUTIONS WHERE ROUTE AFRICA DOES NOT EXIST TO ANNOUNCE/SENSITIZE AND ESTABLISH ROUTE AFRICA TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY SUPPORT ROUTE AFRICA FINANCIALLY ON PROJECTS AND UNDERTAKINGS THAT WE MUTUALLY AGREE NEEDS EXECUTION AND REQUIRES FUNDING TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY PARTICIPATE IN THE RECRUITMENT OF OTHER LITERARY BODIES TO PARTNER WITH ROUTE AFRICA AT ANY LEVEL/CAPACITY TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY MAKE OURSELVES AVAILABLE FOR PARTICIPATION (AND CHAIRING IF REQUESTED) IN ANY COMMITTEE SET UP BY ROUTE AFRICA TO PURSUE ANY SET GOAL THAT WE MUTUALLY AGREE NEEDS ACHIEVING TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE I PLEDGE TO WILLINGLY SUPPORT ROUTE AFRICA IN ACTIVITIES THAT INVOLVE THE PROCUREMENT OF BETTER LEGAL, FINANCIAL, AND LANDED SECURITY TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY PARTICIPATE IN THE PUBLICITY AND PUBLICIZING OF ROUTE AFRICA AND ROUTE AFRICA ORGANIZED EVENTS ON PLATFORMS PROVIDED AND OPERATED BY ME TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY PUBLISH ANY CONTENT PROVIDED BY ROUTE AFRICA, AUTHORED SOLELY BY A ROUTE AFRICA ACTIVE OR PASSIVE MEMBER THAT WE CONSIDER SATISFACTORY BY OMY OWN ASSESSMENT AT REQUEST FROM ROUTE AFRICA I PLEDGE TO WILLINGLY PROVIDE ONLINE AND OFFLINE TECHNICAL SUPPORT FROM PLATFORMS OPERATED BY ME TO THE BEST OF MY CAPABILITY AT REQUEST FROM ROUTE AFRICA THIS FORM IS TO BE SUBMITTED WITHIN TWO (2) WEEKS OF RECEIPT TO THE ADDRESS PROVIDED AT THE HEADER OF THIS DOCUMENT (MAIL SUBJECT SHOULD BE ROUTE AFRICA PARTICIPATION ).

5 DESCRIPTION OF ACTIVITY UNITS MEET AFRICA INITIATIVE (MAI): Activity unit dedicated to reading a myriad of African literature, and creatively expressing what one has read on the infamous global platform for grooming writers, Wattpad.com, in various creative forms (fan-fictions, anthologies, discussions on Wattpad club discussion threads, poems, etc.), thereby engaging and expanding a global community of writers and readers who are interested in what Africa has to offer to the literary scene or who still have this interest latent in them. Members of this unit are expected to join Wattpad and be actively engaged in what goes on there. SPOKEN WORD POETRY (SWP): Activity unit dedicated to grooming poets who want not only to write poetry but also to read out and demonstrate poetry to listeners. It aims to groom unique African minstrels of our day. Members of this unit are encouraged to have online outlets where their spoken poems can be appreciated or constructively criticized, preferably youtube.com PROSE AND POETRY (P&P): Activity unit dedicated to grooming fiction and non-fiction writers of prosaic, poetic and essayistic works. Members of this unit are encouraged to reach out to online and offline literary magazines and outfits out there (or in partnership with ROUTE AFRICA) to go through and publish their works. This is how to be known in the literary world of today. 4. WORDS TO LIFE (W2L): Activity unit dedicated to grooming persons with a flair for dramatizing written plays (or prosaic works). Members of this unit are encouraged to have online outlets where their independently casted or directed dramas/playlets can be appreciated or constructively criticized, preferably youtube.com 5. THE NEWSMEN (TN): Activity unit dedicated to grooming persons with a flair for journalism and news reporting. Members of this unit are encouraged to reach out to online and offline newspapers and/or magazines out there (or in partnership with ROUTE AFRICA) to go through and publish their works. 6. READERS CLUB (RC): Activity unit dedicated to grooming persons who love reading a lot of literary works and prefer reading to writing to become more effective readers whose input to the world of literature can be felt and assessed through their book (or play, or essay) reviews. Members are encouraged to have online outlets where their reviews can be appreciated or constructively criticized, preferably goodreads.com 7. BLOGGERS UNITE (BU): Activity unit dedicated to grooming persons with a flair and desire for blogging (photography as stories, or regular literary blogging). Members of this unit are encouraged to have blogs of their own and/or contribute to already existing literary blogs so that their works can be appreciated or constructively criticized. Preferable blogging platform/host is wordpress.com by Automattic. 8. PERCHERS: Unit name gotten from the biblical symbol of the dove bringing about the announcement of who Jesus Christ is to the world, Perchers is a special proactive unit dedicated to grooming individuals who will be dedicated to achieving one of ROUTE AFRICA s core aims of announcing African movers (unique African business, artistic, literary, etc. entrepreneurs who still have start-up outfits or have not been made known to a wider audience) by regularly and frequently finding them in whatever corner of Africa they are in and conducting interviews with them for their craft to be made public. Members of this unit are encouraged to reach out to online and offline newspapers and/or magazines out there (or in partnership with ROUTE AFRICA) to go through and publish their works, and if interviews are have video coverage, members are encouraged to have online outlets where such videos can be appreciated or constructively criticized, preferably youtube.com

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