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KidsKonnectUkraine Individual Application
Thank you for your interest in joining the KidsKonnectUkriane movement. Please fill out the application below.
* Indicates required question
Email
*
Your email
Are you under 18?
*
Yes, I am under 18 and I have my parents permission to join.
Yes, I am under 18 and I will submit my application after I receive parental permission.
No, I over 18.
Name
*
Your answer
Date of Application
*
MM
/
DD
/
YYYY
Are you interested in joining up your School, Class, Club or Individually?
*
School
Club
Individually
Other:
School Name (and club name, if applicable)
Your answer
Country
*
Your answer
City
*
Your answer
State, if US
Choose
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other
If you are Ukrainian, are you an IDP (Internally Displaced Person)?
Yes
No
Clear selection
Would you like to share any special interests or skills with us?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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