affiliate form

About You

Full Name

Email Address

Phone Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

What is your role?

ECD Practitioner / Teacher

ECD Centre Owner / Manager

Parent / Guardian

Other (please specify)

Your Background

Name of your ECD Centre (if applicable)

How many children are currently enrolled at your ECD Centre?

0–20

21–50

51–100

100+

How long have you been involved in early childhood development or education?

Less than 1 year

1–3 years

4–6 years

What motivates you to join the OURS Affiliate Programme?

Technology & Access

Do you currently use any digital tools or devices for learning or administration at your centre/home?

Yes

No

If yes, please specify what type (e.g., smartphone, tablet, computer, projector, OURSpace device).

Do you have access to Wi-Fi or mobile data?

Reliable Wi-Fi

Mobile Data Only

No Regular Internet Access

How comfortable are you with using technology?

Beginner

Intermediate

Confident / Experienced

Interest in the OURS Affiliate Programme

How did you hear about OURS?

Referral from a friend or colleague

Social media (Facebook, Instagram, WhatsApp)

Community event or workshop

Other (please specify)

What excites you most about becoming an OURS Affiliate?

How would you like to participate as an affiliate? (You can select more than one)

Promote OURS products in my community

Host OURS demonstrations or training sessions

Assist other centres or parents to access OURSpace content

Resell OURS devices and earn a commission

Provide feedback on OURSpace content and usability

How many ECD practitioners or parents do you think you could reach through your network?

Fewer than 10

10–25

26–50

50+

Would you like to receive training on how to use the OURSpace device and promote it effectively?

Yes

No

Maybe later

Final Section

Is there anything else you’d like us to know about you or your community?

Upload a recent photo of yourself or your centre (optional).

By submitting this form, you agree to be contacted by the OURS team regarding affiliate opportunities.

I agree