Membership Intake Form Step 1 of 8 12% Section 1. Eligibility & Applicant PathwayAdvancing healthy ageing and longevity requires collaboration across sectors, disciplines and regions. No single organization can do this alone. IFA membership brings together individuals and organisations committed to shaping more inclusive, equitable and longevity-ready societies through shared learning, partnership, and collective action. For more information on membership with IFA please review the IFA Membership Package.Are you applying as:(Required) Organisation Individual If applying as an organisation, please indicate your organisation type: (Required)(Required)Note: Organisations are eligible for IFA membership if they are working in or contributing to healthy ageing and longevity, including through policy, research, service delivery, advocacy or systems change. Civil society organisation / NGO / network Association or professional body Academic, research, or policy institution Private sector entity or social enterprise Health and care provider Philanthropic organisation Other (please specify) Government and public-sector bodies engage with IFA through dedicated partnership pathways. Please contact members@ifa.ngo to explore collaboration.Other: Section 2. Strategic Alignment & Engagement InterestsHow does your work contribute to healthy ageing and longevity?(Required)Examples may include policy influence, service delivery, research, advocacy, innovation, community engagement, systems strengthening, rights-based approaches, or cross-sector collaboration.Why are you interested in becoming an IFA member? (Required)(Required)Please describe your goals, areas of interest, and how you hope to engage with the IFA community.Which of the following ways of working or engagement approaches are most relevant to your work or interests? (Select all that apply)(Required) Evidence & Foresight Networks & Partnerships Strategic Convening Policy & Advocacy Which of IFA’s strategic or thematic priorities are most relevant to your work or interests? (Select all that apply)(Required) Rights of older persons, ending ageism and intergenerational solidarity Person and relational centred health and care continuum Age friendly communities and longevity ready environments Future of work, financing and longevity economies Climate resilience and planetary health Digital transformation and inclusion Section 3. Membership & EngagementIndividuals engage with IFA as Engaged Individual Members. This membership category is designed for individuals who wish to connect with a global network, contribute their expertise, and participate in IFA’s work on healthy ageing and longevity.What expertise, experience, or contributions can you bring to the IFA community? (Select all that apply) Policy expertise Research & data Regional insights Lived experience perspectives Technical expertise Other (please specify) OtherWhat outcomes or opportunities are you hoping to gain through IFA membership? (Select all that apply) — Connection & Community Access to a global network of peers and practitioners Connecting with others working on healthy ageing and longevity What outcomes or opportunities are you hoping to gain through IFA membership? (Select all that apply) — Learning & Knowledge Knowledge exchange and shared learning opportunities Access to insights, resources, and selected event content Staying informed on global ageing and longevity issues What outcomes or opportunities are you hoping to gain through IFA membership? (Select all that apply) — Participation & Engagement Participation in events, convenings, and dialogues Opportunities to engage in discussions and community exchanges Opportunities to share perspectives and contribute to conversations What outcomes or opportunities are you hoping to gain through IFA membership? (Select all that apply) — Contribution Sharing professional, academic, or lived experience perspectives Bringing regional or local insights into global conversations Learn more about membership benefits and fees on pages 11-14 of the IFA Membership Package.Please select the membership level that best reflects your intended level of engagement and contribution. Individual Are you based primarily in a low- or lower-middle income country? Yes No Membership is structured at different levels of engagement, reflecting depth of collaboration, contribution, and leadership.What expertise, experience, or contributions can you bring to the IFA community? (Select all that apply) Policy expertise Research & data Regional insights Lived experience perspectives Convening capacity Funding / sponsorship Networks & partnerships Technical expertise Community engagement Innovation / pilot initiatives Training / capacity building Other (please specify) OtherWhat do you hope to gain from membership?Connection & Community Connecting with a global, cross-sector community working on healthy ageing and longevity (all organisational members) Being recognised as part of the IFA global community (all organisational members) Learning & Knowledge Accessing knowledge, insights, and evidence to support your work (all organisational members) Contributing to and learning from shared experiences across regions and sectors (all organisational members) Receiving curated updates, communications, and opportunities to engage (all organisational members) Participation & Engagement Participating in IFA convenings, dialogues, and year-round engagement opportunities (all organisational members) Contributing to policy dialogue and influencing global and regional priorities (all organisational members) Showcasing your work and sharing practice through IFA platforms and convenings (Contributing & Catalytic members) Amplifying your organisation’s initiatives, insights, and leadership (Contributing & Catalytic members) Contribution & Collaboration Contributing to shaping IFA’s priorities and areas of focus (Contributing & Catalytic members) Leadership & Strategic Engagement Taking on leadership roles within working groups, roundtables, or strategic initiatives (Catalytic members) Engaging in high-level collaboration to help drive system-level impact (Catalytic members) Learn more about membership tiers, benefits, and fees on pages 11-14 of the IFA Membership Package.Please select the membership level that best reflects your organisation’s intended level of engagement and contribution. Engaged Member – Connect, learn, and contribute occasionally Contributing Member – Collaborate and help shape priorities Catalytic Member – Co-create, lead, and support system-level impact Is your organisation a registered non-governmental or non-profit organisation in your region of operation? Yes No This helps IFA determine any applicable membership fee adjustment.Is your organisation based in a low- or lower middle-income country per World Bank country classifications?This helps IFA determine any applicable membership fee adjustment. World Bank country classifications Yes No Engaged membership adjustment (registered non-profit, not LMIC) Engaged membership adjustment (registered non-profit, not LMIC) Engaged membership adjustment (LMIC, not registered non-profit) Engaged membership adjustment (LMIC, not registered non-profit) Engaged membership adjustment (registered non-profit and LMIC) Engaged membership adjustment (registered non-profit and LMIC) Contributing membership adjustment (registered non-profit, not LMIC) Contributing membership adjustment (registered non-profit, not LMIC) Contributing membership adjustment (LMIC, not registered non-profit) Contributing membership adjustment (LMIC, not registered non-profit) Contributing membership adjustment (registered non-profit and LMIC) Contributing membership adjustment (registered non-profit and LMIC) Catalytic membership adjustment (registered non-profit) Catalytic membership adjustment (registered non-profit) Section 4. Individual ProfileName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Email(Required) Enter Email Confirm Email Country of residence(Required)Select countryAfghanistanAlbaniaAlgeriaArgentinaAustraliaAustriaBangladeshBelgiumBrazilCanadaChileChinaColombiaCroatiaDenmarkEgyptEthiopiaFinlandFranceGermanyGhanaGreeceIndiaIndonesiaIrelandIsraelItalyJapanKenyaMexicoMoroccoNetherlandsNew ZealandNigeriaNorwayPakistanPeruPhilippinesPolandPortugalRepublic of KoreaRussian FederationSaudi ArabiaSouth AfricaSpainSwedenSwitzerlandThailandTürkiyeUkraineUnited Arab EmiratesUnited KingdomUnited StatesViet NamOtherCurrent role (optional)Where did you hear about IFA?(Required) Social media Conference/event Existing member referral Professional network / word of mouth Partner organisation Newsletter/email Web search Media/article/publication Other (please specify) If other, please specify:Section 4. Organizational ProfileName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Email(Required) Enter Email Confirm Email Country of residence(Required)Select countryAfghanistanAlbaniaAlgeriaArgentinaAustraliaAustriaBangladeshBelgiumBrazilCanadaChileChinaColombiaCroatiaDenmarkEgyptEthiopiaFinlandFranceGermanyGhanaGreeceIndiaIndonesiaIrelandIsraelItalyJapanKenyaMexicoMoroccoNetherlandsNew ZealandNigeriaNorwayPakistanPeruPhilippinesPolandPortugalRepublic of KoreaRussian FederationSaudi ArabiaSouth AfricaSpainSwedenSwitzerlandThailandTürkiyeUkraineUnited Arab EmiratesUnited KingdomUnited StatesViet NamOtherJob title (optional)Organisation / affiliation (optional)Organisation name(Required)Organisation address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong Kong, ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Websitee.g. www.example.orgWhere did you hear about IFA?(Required) Social media Conference/event Existing member referral Professional network / word of mouth Partner organisation Newsletter/email Web search Media/article/publication Other (please specify) If other, please specify: Organisation additional detailsYear established (optional)Geographic Scope:(Required) Subnational National Regional Global If you select Regional, specify the region in the following field.Region (if geographic scope is Regional)(Required)Staff Size(Required) 1–10 11–50 51–200 201-500 500+ Volunteers (if any) (optional) 1–10 11–50 51–200 201-500 500+ Short Organisation Description:(Required)Upload Organisation LogoMax. file size: 5 MB. By uploading your organisation’s logo, you consent to IFA using it in member directories, on the website, and in communication materials related to membership.Does your organisation represent a broader membership-based network?(Required) Yes No Please share approximate number of member organisations, network reach, geographic coverage or constituency represented (as relevant)Do you represent or directly link with the lived experience and perspectives of older persons into your work, programmes, governance, or decision-making processes?(Required) Yes No Please briefly describe (optional) Section 5. Membership Terms, Governance & PrivacyPlease confirm the following: Consent(Required) I have read and agree to uphold the IFA Membership Principles and Commitments.Consent(Required) My organisation has read and agrees to uphold the IFA Membership Principles and Commitments.Consent(Required) I agree to disclose in a timely manner any current, potential, real or perceived conflicts of interest that could affect participation in, integrity of, or trust in the IFA network.Consent(Required) My organisation agrees to disclose in a timely manner any current, potential, real or perceived conflicts of interest that could affect participation in, integrity of, or trust in the IFA network.Consent(Required) I understand that IFA collects and uses personal information for membership administration, engagement, communications, and network participation activities. I consent to the use of the contact information provided for these purposes in accordance with IFA's Privacy Policy.Consent(Required) We understand that IFA collects and uses organisational and personal information for membership administration, engagement, communications, and network participation activities. We consent to the use of the contact information provided for these purposes in accordance with IFA's Privacy Policy.Consent One of the main ways we stay connected with our members is through email. By checking this box, you agree to receive newsletters and updates from us. You may unsubscribe at any time. IFA will not share personal information with third parties for unrelated or commercial marketing purposes without consent. Applicants may request access to or correction of their submitted information. Information will be retained only as long as reasonably necessary for membership administration, legal, operational, or historical record purposes, with appropriate safeguards applied. Section 6. Key ContactsExecutive Lead (e.g. CEO / Executive Director / President)Full name(Required) First Last Title (free text, e.g. Dr., Ms., Mr., Director, etc.)(Required)Contact Email(Required) Enter Email Confirm Email PhoneIs the primary membership contact for the organisation a different person from the Executive Lead?(Required) Yes No Full name(Required) First Last Title (free text, e.g. Dr., Ms., Mr., Director, etc.)(Required)Contact Email(Required) Enter Email Confirm Email Phone PaymentCredit Card Processing fees Price: $0.00 Total For membership inquiries or additional information, please contact: membership@ifa.ngo
