WYA Africa Youth Summit 2017, Application Form
Dear Applicant,

Kindly fill out this form correctly.

Theme: Celebrating Youth Excellence and Collective Ingenuity
Date: Friday 14th, July, 2017 , 1.30 – 5 pm
Venue: University of Nairobi Main Campus, Education Building – EDII, Nairobi, Kenya
Entrance: Free (registration is required)

See you soon,

WYA Africa Team.
First Name: *
Your answer
Last Name: *
Your answer
Other Name (s):
Your answer
Date of Birth: *
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DD
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YYYY
Nationality: *
Your answer
City/Town or specific address: *
Your answer
Email Address: *
Your answer
Mobile/Cell Phone: *
Example +254 xxx xxx xxx
Your answer
Current Occupation:
Write "student" is still in school. If working, include the company/firm/organisation and present position
Your answer
Organisations you are an affiliate/ a member of. *
List the organisations you are a member / an affiliate of.
Your answer
Current School/ College/University (if student):
Your answer
Are you a World Youth Alliance member? *
WYA membership is free, one only needs to agree with and sign the WYA Charter, http://wya.net/charter
Which WYA events have you participated in? *
In you have not attended any WYA events, state "none".
Your answer
Will you attend the Africa Emerging Leaders Conference? *
WYA Africa will host the 6th Africa Emerging Leaders Conference from 11-13 November 2015 at Strathmore University, Nairobi. Further details: http://www.wya.net/aelc
What are your expectations from this Youth Summit? *
Briefly state any expectations you might have.
Your answer
How did you know about the Youth Summit? *
Your answer
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