1. Membership Information Membership Type * New MembershipChange of InformationInvited Fellow Membership Category * FellowFull MemberAssociateStudent 2. Personal Information Title * Mr.Mrs.MissMs.Dr.Prof.Engr. First Name * Last Name * Date of Birth * Phone Number * Email Address * Residential Address * State * Select StateAbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguFederal Capital Territory (FCT)GombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara 3. Professional Information Current Job Title * Current Employer / Organisation * Organisation Address * LinkedIn Profile (Optional) Current Employment Sector * Private SectorPublic SectorDevelopment SectorNon-profit / NGOConsultingAcademiaStudentSelf-employedOther Industry * Banking & Financial ServicesOil & GasManufacturingEnergyAgricultureConstructionHealthcareEducationTechnologyTelecommunicationsGovernmentConsultingProfessional ServicesMiningTransportationReal EstateMediaHospitalityNGO / DevelopmentOther 4. Qualifications & Experience Total Years of Professional Experience * Less than 1 year1 - 3 years4 - 7 years8 - 12 years13 years and above Total Years of Sustainability Experience * No Sustainability ExperienceLess than 1 year1 - 2 years3 - 5 years6 - 9 years10 years and above Why do you wish to become a SPIN Member? * Please summarise your sustainability, ESG, CSR or governance experience * Professional Memberships (Optional) Highest Academic Qualification * Bachelor's DegreeMaster's DegreeDoctorate (PhD)Professional QualificationOther Professional Certifications (Optional) Have you received any professional award or recognition? YesNo Name of Award Name of Awarding Organisation Upload Supporting Evidence (Optional) Are you self-employed? YesNo Upload CAC Certificate (Optional) 5. Supporting Documents Upload CV * Passport Photograph * Professional Certificates (Optional) How did you hear about SPIN? * Google SearchLinkedInFacebookInstagramX (Twitter)WhatsAppSPIN MemberEmployerConferenceTrainingWebsiteEmailOther (please specify) Please specify 6. Referees Referee Information Referee Title * Mr.Mrs.MissMs.Dr.Prof.Engr. Referee Full Name * Referee Job Title * Referee Company Name * Referee Email Official Address * Referee State * Select Referee State *AbiaAbujaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara Referee Address * Second Referee Information Second Referee Title * Mr.Mrs.MissMs.Dr.Prof.Engr. Second Referee Full Name * Second Referee Job Title * Second Referee Company Name * Second Referee Official Email Address * Second Referee State * Select Second Referee State *AbiaAbujaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfara Second Referee Address * Applicant's Attestation * I agree with the terms and conditions of membership. I hereby apply for membership of the Sustainability Professionals Institute of Nigeria (SPIN). I understand that the membership will be based on the information provided in my application at the date of submission and that I will be asked to provide additional information to support my education, professional certification (if any), and experience. I have never been convicted of a felony. I attest that the information provided is true and accurate. I understand and agree that this information may be audited by the SPIN Strategy and Membership Committee to ensure its accuracy and that failing to provide accurate information may result in the loss of membership. If admitted as a Member, I agree to be governed by and to comply with the Code of Ethics of the Institute. I understand that I must renew my membership annually and be a Member in good standing in order to retain my membership. I understand that the membership category awarded will be revoked for failure to renew my membership and that I cannot hold myself out as a Member if I am not an active member in good standing. Having read through this, I hereby accept the obligation to observe the regulations of the Institute as set out in its Memorandum and Articles of Association, this Membership Form, and any determination of Council.