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Personal Imformation

Name: 


Family

Given

Middle

Country of citizenship:

Date of Birth: 

 


month

day

year


Have you attended a session before? 

yes no - If yes, which one?



Are you currently affiliated with an NGO (non-governmental organization)?

yes no - If yes, which one?

If yes, please explain the nature of the work you do within this organization.
(
Please limit your answer to 300 words.)


Please tell us why you wish to attend the Youth Conference 

- What would you like to accomplish while there?

- What do you hope to gain from the experience?

- What do you plan to do with this when you return to your home country?

- What do you bring to the table?


Email Address:   

Phone Number: 



Please make sure you answered each & every question above thoughtfully and in detail. Incomplete application forms will not be reviewed. Your answers will determine whether or not you will be invited to participate in the Youth Conference, so give each of them thought and make your replies clear and concise.

Applications will be assessed according to the potential and interest you bring to your fellow delegates, not so much your record - so don't worry about past achievements but focus on your future plans!

Please copy to Microsoft word

PRINT THIS SHEETS & Scan send them to

dwomohdavid@yahoo.com/wordtrinity@aim.com